Vaisman, Sofia
Vaisman, Sofia is an sole proprietor health care provider with primary practice located at 22600 Ventura Blvd Ste 101 , Woodland Hills CA 91364-1430. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Vaisman, Sofia can be contacted via phone (818) 225-1255.Contact Information
Primary practice address
22600 Ventura Blvd Ste 101
Woodland Hills CA 91364-1430
Phone: (818) 225-1255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | A036979 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A036979 | California |
Profile Details
| NPI number | 1497846638 |
|---|---|
| LBN Legal business name | Vaisman, Sofia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Feb 19th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497846638 | NPPES |
| California | MEDICAID | 00A369790 | |
| California | Other | 010017655 |
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