Basic Information
| Provider Information | |||||||||
| NPI: | 1447891924 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NADER SOBH INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1335 N LA BREA AVE STE 3 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900287565 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9518333712 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1335 N LA BREA AVE STE 3 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900287565 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186960091 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2019 | ||||||||
| LastUpdateDate: | 01/04/2022 | ||||||||
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| AuthorizedOfficialLastName: | SOBH | ||||||||
| AuthorizedOfficialFirstName: | NADER | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 9518333712 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
| NPICertificationDate: | 01/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QS0010X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine |
No ID Information.