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SOFYA ALBUKH MD A PROF. CORP. NPI 1700095817


NPI Information

NPI: 1700095817
Provider Name: SOFYA ALBUKH , MD A PROF. CORP.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
6850 SEPULVEDA BLVD STE 200
VAN NUYS, CA
ZIP 91405
Phone: (818) 994-8570
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SOFYA ALBUKH , MD A PROF. CORP. is a general practice in Van Nuys, CA. SOFYA ALBUKH , MD A PROF. CORP. NPI is 1700095817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6850 SEPULVEDA BLVD STE 200
VAN NUYS, CA
ZIP 91405-467
Phone: (818) 994-8570
Fax: (818) 994-0034

The provider's authorized official is Sofya Albukh .
The authorized official title is President and has the following contact phone number (818) 994-8570.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA55465CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A554650MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.