NPIMap

Organization Active NPI

Sobol Orthopedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1073636817
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G42254 Issued in NU
Legal business name
SOBOL ORTHOPEDIC MEDICAL GROUP, INC.
Practice address
8618 S Sepulveda Blvd
Ste. 130
Los Angeles, CA 90045-4005
Phone
(310) 649-5894
Fax
(310) 649-1094
NPI assigned
Apr 9, 2007
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Philip A Sobol, MDNPI 1861548844
Title
Owner
Phone
(310) 649-5894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G42254 NU Primary

Addresses

Primary practice location

8618 S Sepulveda Blvd
Ste. 130
Los Angeles, CA 90045-4005

Mailing address

8618 S Sepulveda Blvd
Suite 130
Los Angeles, CA 90045-4005
Phone (310) 649-5894

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1073636817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 S SEPULVEDA BLVD",
            "address_2": "SUITE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454005",
            "telephone_number": "310-649-5894",
            "fax_number": "310-649-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 S SEPULVEDA BLVD",
            "address_2": "STE. 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454005",
            "telephone_number": "310-649-5894",
            "fax_number": "310-649-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBOL ORTHOPEDIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "SOBOL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-649-5894",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": "G42254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.