Soroya Bacchus, MD a Professional Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G74246 Issued in CA

Legal business name

SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

6801 Park Ter Ste 530B
Los Angeles, CA 90045-1543

Phone

(310) 865-2541

Fax

(310) 895-2895

NPI assigned

Jul 2, 2009

Last updated

Nov 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Soroya M Bacchus, M.D.NPI 1407953029

Title

Owner

Phone

(310) 649-2658

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Soroya Bacchus, MD a Professional Medical Corporation

  dba Psychiatry Unplugged

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1841892965
  NPPES parent name

Practitioners 1

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.

• Soroya Montez Bacchus, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1407953029
  Authorized official Same address or phone

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1225267859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 530B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451543",
            "telephone_number": "310-865-2541",
            "fax_number": "310-895-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 530B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451543",
            "telephone_number": "310-865-2541",
            "fax_number": "310-895-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BACCHUS",
        "authorized_official_first_name": "SOROYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-649-2658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G74246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Michelle Sorondo
• Sorores Inc (Wilshire Adult Day Health Care Center)
• Camille Soroudi
• Selvana Sorour, D.M.D
• Fereshteh Ghahremani Sorouri
• Soroya Bacchus, MD a Professional Medical Corporation (Psychiatry Unplugged)
• Sidney Stephen Sorrell, MD
• Tequila Sorrels
• Sors Hospice, Inc
• Julie Anne Sortais, LCSW

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.