DR. SOGHOMONIAN'S MEDICAL CLINIC INC. NPI 1770736712

NPI Information

DR. SOGHOMONIAN'S MEDICAL CLINIC, INC. is a primary care clinic center in Sanger, CA. DR. SOGHOMONIAN'S MEDICAL CLINIC, INC. NPI is 1770736712. The provider is registered as an organization entity type.

The provider's business location address is:

2570 JENSEN AVE
SUITE #117
SANGER, CA
ZIP 93657-269
Phone: (559) 875-2601
Fax: (559) 261-0596

The provider's authorized official is Ara K. Soghomonian .
The authorized official title is President and has the following contact phone number (559) 875-2601.

The CLIA number assigned to this NPI record is 05D0935368 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2008 and was last updated on 11/3/2008.

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:

Other Identifiers

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

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