Provider Demographics
NPI:1841208881
Name:EUGENE SOROKA MD INC
Entity Type:Organization
Organization Name:EUGENE SOROKA MD INC
Other - Org Name:SAVIERS MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOROKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-247-0708
Mailing Address - Street 1:246 E SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93041
Mailing Address - Country:US
Mailing Address - Phone:805-247-0708
Mailing Address - Fax:805-271-0769
Practice Address - Street 1:246 E SCOTT ST
Practice Address - Street 2:
Practice Address - City:PORT HUENEME
Practice Address - State:CA
Practice Address - Zip Code:93041-2918
Practice Address - Country:US
Practice Address - Phone:805-271-0708
Practice Address - Fax:805-271-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92349207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty