PATRICK ADEBOWALE SOGBEIN NPI 1265404081

NPI Information

NPI: 1265404081
Provider Name: PATRICK ADEBOWALE SOGBEIN
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Individual

Specialization: Parenteral & Enteral Nutrition

Address:
13615 VICTORY BLVD
SUITE136
VAN NUYS, CA
ZIP 91401
Phone: (818) 376-1243
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Patrick Adebowale Sogbein is a parenteral and enteral nutrition durable medical equipment medical supplies in Van Nuys, CA. Patrick Adebowale Sogbein NPI is 1265404081. 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:

13615 VICTORY BLVD
SUITE136
VAN NUYS, CA
ZIP 91401-737
Phone: (818) 376-1243
Fax: (818) 376-1604

The enumeration date for this NPI number is 2/6/2006 and was last updated on 2/6/2008.

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	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	102908	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	4802910001	MEDICARE NSC	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: 11/14/2023

NPI Synchronization or Removal

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