LUIS RAUL SOSA MD NPI 1255408001

NPI Information

NPI: 1255408001
Provider Name: LUIS RAUL SOSA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4770 W HERNDON AVE
FRESNO, CA
ZIP 93722
Phone: (559) 271-6365
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Luis Raul Sosa, MD is a family medicine in Fresno, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Luis Raul Sosa, MD NPI is 1255408001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4770 W HERNDON AVE
FRESNO, CA
ZIP 93722-401
Phone: (559) 271-6365
Fax: (559) 271-6365

The enumeration date for this NPI number is 11/29/2006 and was last updated on 12/27/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		A88028	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00429023	OTHER	CALIFORNIA	MEDICARE RR
2	H58800	MEDICARE UPIN
3	00A880280	MEDICARE PIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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