Soma Medical Group

NPI #1063434900 in Redondo Beach, California

Provider Information

NPI Number: 1063434900
Entity Type: Organization
Organization Name: Soma Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Jul 23, 2006
Last Updated: Dec 4, 2008

Practice Location

Address: 1959 KINGSDALE AVE
City: Redondo Beach
State: California
ZIP Code: 90278-3417
Phone: (310) 214-1000

Authorized Official

Name: SOHAIL DAVOUDIAN, M.D.
Title: MEDICAL DIRECTOR
Phone: (310) 214-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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