Provider Demographics
NPI:1083962872
Name:TOUBIA, SOUHAIL N/A (MD)
Entity Type:Individual
Prefix:DR
First Name:SOUHAIL
Middle Name:N/A
Last Name:TOUBIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 S STANDARD AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3034
Mailing Address - Country:US
Mailing Address - Phone:714-641-5884
Mailing Address - Fax:714-557-5361
Practice Address - Street 1:2141 S STANDARD AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3034
Practice Address - Country:US
Practice Address - Phone:714-641-5884
Practice Address - Fax:714-557-5361
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40777207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine