Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | C55230 | CA |
N | 207RH0002X | Hospice and Palliative Medicine | ME96668 | FL |
NPI | 1225250236 |
---|---|
Provider Name | Sorin Buga |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Duarte, CA 91010-3012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 16/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
278267700 | (05) | FL |
96759 | BCBS (01) | FL |
ME96668 | MEDICAL LICENSE (01) | FL |