Active NPI
Sophies Fertility and Wellness, Inc.
Doing business as Sophia Bubrick, OTR/L
- Occupational Therapist
- Lake Balboa, CA
National Provider Identifier
1225655038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- SOPHIES FERTILITY AND WELLNESS, INC.
- Doing business as
- Sophia Bubrick, OTR/L
- Practice address
- 17330 Hamlin St
Lake Balboa, CA 91406-5418 - Phone
- (310) 975-9130
- NPI assigned
- Jun 26, 2020
- Last updated
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sophia Bubrick
- Title
- Occupational Therapist
- Phone
- (310) 975-9130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
17330 Hamlin St
Lake Balboa, CA 91406-5418
Mailing address
17330 Hamlin St
Lake Balboa, CA 91406-5418
Phone (310) 975-9130
Other names 1
- Sophia Bubrick, OTR/L
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593129600000",
"number": "1225655038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17330 HAMLIN ST",
"city": "LAKE BALBOA",
"state": "CA",
"postal_code": "914065418",
"telephone_number": "310-975-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17330 HAMLIN ST",
"city": "LAKE BALBOA",
"state": "CA",
"postal_code": "914065418",
"telephone_number": "310-975-9130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOPHIES FERTILITY AND WELLNESS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A",
"authorized_official_last_name": "BUBRICK",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "310-975-9130"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sophia Bubrick, OTR/L",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Balboa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.