Soroya Bacchus, MD a Professional Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

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

Phone

(310) 895-2541

Fax

(310) 895-2895

NPI assigned

Nov 13, 2020

Organization subpart

Yes

Parent organization

SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Soroya Montez Bacchus, MD

Title

Director

Phone

(310) 895-2541

Specialties & licenses 1

Addresses

Other names 1

• Psychiatry Unplugged Doing business as

Tax ID family

Soroya Bacchus MD Apc2 organizations share this tax ID, including this one

Part of

Soroya Bacchus MD Apc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Soroya Bacchus MD

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1285084111
  NPD tax ID

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.

• Soroya Bacchus, MD a Professional Medical Corporation

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1225267859
  NPPES parent name

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1841892965",
    "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": "310-895-2541",
            "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": "310-895-2541",
            "fax_number": "310-895-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOROYA BACCHUS, MD A PROFESSIONAL MEDICAL CORPORATION",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BACCHUS",
        "authorized_official_first_name": "SOROYA",
        "authorized_official_middle_name": "MONTEZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-895-2541",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatry Unplugged",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sorores Inc
• Camille Soroudi
• Selvana Sorour, D.M.D
• Fereshteh Ghahremani Sorouri
• Soroya Bacchus, MD a Professional Medical Corporation
• Sidney Stephen Sorrell, MD
• Tequila Sorrels
• Sors Hospice, Inc
• Julie Anne Sortais, LCSW
• Selvin Sorto

• 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 13, 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.