Robert H. Sorosky M.D. Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G11186 Issued in CA

Legal business name

ROBERT H. SOROSKY M.D. INC.

Practice address

1330 San Bernardino Rd
Ste. C
Upland, CA 91786-4928

Phone

(909) 981-8985

Fax

(909) 949-4550

NPI assigned

Dec 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Hale Sorosky, M.D.

Title

Medical Doctor

Phone

(909) 981-8985

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063575926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "STE. C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864928",
            "telephone_number": "909-981-8985",
            "fax_number": "909-949-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "STE. C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864928",
            "telephone_number": "909-981-8985",
            "fax_number": "909-949-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H. SOROSKY M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOROSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HALE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "909-981-8985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G11186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.