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BEHROOZ DAVID SOOFER DPM NPI 1891789798


NPI Information

NPI: 1891789798
Provider Name: BEHROOZ DAVID SOOFER, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
10379 EASTBORNE AVE
LOS ANGELES, CA
ZIP 90024
Phone: (310) 430-8870
Get Directions

Behrooz David Soofer, DPM is a podiatrist in Los Angeles, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Behrooz David Soofer, DPM NPI is 1891789798. 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:

10379 EASTBORNE AVE
LOS ANGELES, CA
ZIP 90024-364
Phone: (310) 430-8870
Fax: (323) 432-0860

The NPI 1891789798 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/7/2005 and was last updated on 7/13/2016.


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
1213E00000XPodiatristE4059CALIFORNIAYes

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
1U69070MEDICARE UPIN
2E4059OTHERCALIFORNIABLUE CROSS
3E4059BMEDICARE PINCALIFORNIA
4000E40591OTHERCALIFORNIABLUESHIELD
5480031462OTHERCALIFORNIAMEDICARE RAILROAD
6000E40592MEDICAIDCALIFORNIA
74621730003MEDICARE NSCCALIFORNIA
8E4059OTHERLICENSE NUMBER

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.