| Sofya Albukh , Md A Prof. Corp. | |
|
6850 Sepulveda Blvd Ste 200 Van Nuys CA 91405-4467 | |
| (818) 994-8570 | |
| (818) 994-0034 |
| Full Name | Sofya Albukh , Md A Prof. Corp. |
|---|---|
| Speciality | General Practice |
| Location | 6850 Sepulveda Blvd Ste 200, Van Nuys, California |
| Authorized Official Name and Position | Sofya Albukh (PRESIDENT) |
| Authorized Official Contact | 8189948570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sofya Albukh , Md A Prof. Corp. 6850 Sepulveda Blvd Ste 200 Van Nuys CA 91405-4467 Ph: (818) 994-8570 | Sofya Albukh , Md A Prof. Corp. 6850 Sepulveda Blvd Ste 200 Van Nuys CA 91405-4467 Ph: (818) 994-8570 |
| NPI Number | 1700095817 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700095817 | NPI | - | NPPES |
| 00A554650 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A55465 (California) | Primary |
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