Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-138555 | IL |
N | 111NI0900X | Internist | 036-138555 | IL |
N | 207R00000X | Internist | A105360 | CA |
N | 111NI0900X | Internist | A105360 | CA |
N | 208000000X | Pediatrician | 036-138555 | IL |
N | 208000000X | Pediatrician | A105360 | CA |
Y | 2080P0208X | Pediatric Infectious Diseases | A105360 | CA |
NPI | 1417160847 |
---|---|
Provider Name | Dr. Maulin Soneji |
First Address | Los Angeles, CA 90074-0001 |
Second Address | San Bernardino, CA 92408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 28/06/2019 |