Sohail Davoudian (NPI# 1255462248, PAC ID# 7012067069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255462248 |
| PAC ID by PECOS | 7012067069 |
| Professional Enrollment ID | I20090717000020 |
| Full Name | Sohail Davoudian |
| Organization Legal Name | SOMA MEDICAL GROUP |
| Address |
1959 Kingsdale Ave Redondo Beach CA 90278-3417 |
| Phone Number | 3102148500 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 9436190964 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050351 | TORRANCE MEMORIAL MEDICAL CENTER |
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| 050078 | PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO |
| Address | Phone | Organization |
|---|---|---|
| 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 3102148500 | SOMA MEDICAL GROUP |
| Organization Legal Name | SOMA MEDICAL GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roggielyz Padilla | Nurse Practitioner | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Josephine R Cabugnason | Nurse Practitioner | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Salahuddin S Aschrafnia | Family Practice | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Street Address |
1959 KINGSDALE AVE |
| City | REDONDO BEACH |
| State | CA |
| Zip | 90278-3417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roggielyz Padilla | Nurse Practitioner | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Josephine R Cabugnason | Nurse Practitioner | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Salahuddin S Aschrafnia | Family Practice | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa J Hedien | Physical Therapy | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | |
| Russell P Knittel | Emergency Medicine | 1812 Artesia Blvd, Redondo Beach, CA 90278-2906 | |
| Gregory Ginsburg | General Surgery | 2512 Artesia Blvd, Suite 310, Redondo Beach, CA 90278-3274 | |
| Ray Daniel Pendergraft | Chiropractic | 2512 Artesia Blvd, Suite 230, Redondo Beach, CA 90278-3277 | |
| Daniela Aleksich | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Roohbakhsh Maher | Podiatry | 2850 Artesia Blvd, Suite 204, Redondo Beach, CA 90278-3413 | |
| Theodore R Otvos | Psychologist, Clinical | 2850 Artesia Blvd, Suite 203b, Redondo Beach, CA 90278-3413 | |
| Peggy Gray Magnusson | Podiatry | 2850 Artesia Blvd, Suite 204, Redondo Beach, CA 90278-3413 | |
| Genevieve Ferland | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Stacey Michelle Funk | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Find all physicians in zip 90278 | |||
| City | REDONDO BEACH |
| Zip Code | 90278 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | REDONDO BEACH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Sohail Davoudian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.