Provider Demographics
NPI:1649591207
Name:SOHAL MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:SOHAL MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEETINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SOHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-329-8096
Mailing Address - Street 1:PO BOX 6259
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95901-8557
Mailing Address - Country:US
Mailing Address - Phone:530-751-7350
Mailing Address - Fax:530-751-2745
Practice Address - Street 1:470 DEL NORTE AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4125
Practice Address - Country:US
Practice Address - Phone:530-751-7350
Practice Address - Fax:530-751-2745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110878207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty