Organization Active NPI

Jennifer Kaur Rodriguez Sohal MD Inc

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1972811123
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A109393 Issued in CA
Legal business name
JENNIFER KAUR RODRIGUEZ SOHAL MD INC
Practice address
2105 Beverly Blvd Ste 227
Los Angeles, CA 90057-2282
Phone
(213) 484-8431
Fax
(213) 484-0780
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Jennifer Kaur R Sohal, M.D.NPI 1063616712
Title
Owner
Phone
(213) 484-8431

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A109393 CA Primary

Addresses

Primary practice location

2105 Beverly Blvd Ste 227
Los Angeles, CA 90057-2282

Mailing address

2105 Beverly Blvd Ste 227
Los Angeles, CA 90057-2282
Phone (213) 484-8431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110201000159 CA Part B Supplier - Clinic/Group Practice 7214116664 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1972811123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD STE 227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572282",
            "telephone_number": "213-484-8431",
            "fax_number": "213-484-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD STE 227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572282",
            "telephone_number": "213-484-8431",
            "fax_number": "213-484-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER KAUR RODRIGUEZ SOHAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "SOHAL",
        "authorized_official_first_name": "JENNIFER  KAUR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-484-8431",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A109393",
            "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 Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.