| Soraya Anne Ross Md A Medical Corporation | |
|
8920 Wilshire Blvd Ste 321 Beverly Hills CA 90211-2003 | |
| (310) 888-1234 | |
| (310) 888-1227 |
| Full Name | Soraya Anne Ross Md A Medical Corporation |
|---|---|
| Speciality | Exclusive Provider Organization |
| Location | 8920 Wilshire Blvd Ste 321, Beverly Hills, California |
| Authorized Official Name and Position | Soraya Anne Ross (OWNER) |
| Authorized Official Contact | 3108881234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soraya Anne Ross Md A Medical Corporation 8920 Wilshire Blvd Ste 321 Beverly Hills CA 90211-2003 Ph: (310) 888-1234 | Soraya Anne Ross Md A Medical Corporation 8920 Wilshire Blvd Ste 321 Beverly Hills CA 90211-2003 Ph: (310) 888-1234 |
| NPI Number | 1316027279 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 2961413919 |
|---|---|
| Medicare Enrollment ID | O20060505000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316027279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 302F00000X | Exclusive Provider Organization | G51213 (California) | Primary |
| Provider Name | Soraya Anne Ross |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649209628 PECOS PAC ID: 0547207979 Enrollment ID: I20060508000398 |
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