SOEPRONO MEDICAL CORPORATION NPI 1306194261

NPI Information

  • NPI: 1306194261
  • Provider Name: SOEPRONO MEDICAL CORPORATION
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Address: 255 TERRACINA BLVD
    STE 206
    REDLANDS, CA
    ZIP 92373
  • Phone: (909) 792-8600

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NPI Details

SOEPRONO MEDICAL CORPORATION is a dermatopathology dermatology in Redlands, CA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. SOEPRONO MEDICAL CORPORATION NPI is 1306194261. The provider is registered as an organization entity type.

The provider's business location address is:

255 TERRACINA BLVD
STE 206
REDLANDS, CA
ZIP 92373-870
Phone: (909) 792-8600
Fax: (909) 792-8660

The provider's authorized official is Fred F Soeprono .
The authorized official title is President and has the following contact phone number (951) 203-5000.

The enumeration date for this NPI number is 8/27/2012 and was last updated on 9/6/2012.

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
1291U00000XClinical Medical Laboratory005D0573825CALIFORNIANo
2207ND0900XDermatologyDermatopathologyG28216CALIFORNIAYes

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
1A43652MEDICARE UPIN

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: 11/21/2025

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