Provider Demographics
NPI:1033164017
Name:HOUSECALL DOCTORS MEDICAL GROUP INC
Entity Type:Organization
Organization Name:HOUSECALL DOCTORS MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARCHITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-366-1053
Mailing Address - Street 1:3800 KILROY AIRPORT WAY STE 270
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2497
Mailing Address - Country:US
Mailing Address - Phone:949-366-1053
Mailing Address - Fax:949-916-0387
Practice Address - Street 1:3800 KILROY AIRPORT WAY STE 270
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2497
Practice Address - Country:US
Practice Address - Phone:949-366-1053
Practice Address - Fax:949-916-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACNC329272207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15701Medicare ID - Type UnspecifiedIDENTIFICATION NUMBER