Active NPI
Nader Sobh Inc
- Sports Medicine (Family Medicine) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- NADER SOBH INC
- Practice address
- 11740 San Vicente Blvd Ste 205
Los Angeles, CA 90049-6610 - Phone
- (951) 833-3712
- NPI assigned
- Jun 15, 2020
- Organization subpart
- Yes
- Parent organization
- NADER SOBH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nader Sobh, DO
- Title
- Physician
- Phone
- (951) 833-3712
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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | Primary |
Addresses
Primary practice location
11740 San Vicente Blvd Ste 205
Los Angeles, CA 90049-6610
Mailing address
716 W Broadway Ste 200
Glendale, CA 91204-1010
Phone (951) 833-3712
National Provider Directory
National Provider Directory- Tax ID family
- Nader Sobh Inc
- Part of
- Nader Sobh Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sports Medicine (Family Medicine) Physician
- Los Angeles, CA
- NPI 1790440519
Locations
11740 San Vicente Blvd
Ste 205
Los Angeles, CA 90049
Phone (310) 820-7602
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Sports Medicine (Family Medicine) Physician
- Los Angeles, CA
- NPI 1447891924
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1952766925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592179200000",
"number": "1447875570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 W BROADWAY STE 200",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041010",
"telephone_number": "951-833-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 SAN VICENTE BLVD STE 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496610",
"telephone_number": "951-833-3712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADER SOBH INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NADER SOBH INC",
"enumeration_date": "2020-06-15",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A",
"authorized_official_last_name": "SOBH",
"authorized_official_first_name": "NADER",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "951-833-3712",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"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 Jun 15, 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.