BEHROOZ DAVID SOOFER (NPI# 1891789798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891789798 |
| Entity Type | Individual |
| Full Name | BEHROOZ DAVID SOOFER |
| Other Name | BEHROOZ D SOOFER |
| Credential | DPM |
| Practice Address |
10379 Eastborne Ave Los Angeles CA 90024-5364 |
| Practice Telephone | 3104308870 |
| Practice Fax Number | 3234320860 |
| Mailing Telephone | 3104308870 |
| Mailing Fax Number | 3234320860 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E4059 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | E4059 | 01 |
| LICENSE NUMBER | E4059 | 01 | |
| CA | 000E40592 | 05 | |
| CA | MEDICARE RAILROAD | 480031462 | 01 |
| CA | BLUESHIELD | 000E40591 | 01 |
| Street Address |
10379 EASTBORNE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-5364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
| 1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| Find all providers in zip 90024 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1790344075 | Bennyt Productions, LLC | Podiatrist | 2514 S Central Ave Ste 1, Los Angeles, CA 90011-1635 | 2019-06-10 |
| 1831664820 | Foot and Ankle Care Center, Inc. | Podiatrist | 15531 Aqua Verde Dr, Los Angeles, CA 90077-1503 | 2018-10-05 |
| 1639689615 | Housecall Multispecialty Md Inc | Podiatrist | 2105 Beverly Blvd Ste 233a, Los Angeles, CA 90057-2216 | 2017-10-04 |
| 1851828701 | Elisabeth Sunghee Youn | Podiatrist | 1711 W Temple St Ste 5606, Los Angeles, CA 90026-5421 | 2017-05-22 |
| 1609294115 | Matthew Snow | Podiatrist | 100 Medical Plz Ste 460, Los Angeles, CA 90095-3017 | 2014-04-01 |
| 1942621206 | Los Angeles Health Clinic, LLC | Podiatrist | 1131 N Vermont Ave Ste 104, Los Angeles, CA 90029-1764 | 2014-01-03 |
| 1750723540 | Regents of The University of California | Podiatrist | 100 Ucla Medical Plaza Ste 460, Los Angeles, CA 90095-6970 | 2013-07-23 |
| 1053669226 | Benjamin Scherer | Podiatrist | 8540 S Sepulveda Blvd Ste 106, Los Angeles, CA 90045-3811 | 2012-08-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on BEHROOZ DAVID SOOFER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.