Provider Demographics
NPI:1891259529
Name:SANDEEP SODHI MD INC
Entity Type:Organization
Organization Name:SANDEEP SODHI MD INC
Other - Org Name:NEW AGE ENDOCRINOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENDOCRINOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:SODHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-253-2777
Mailing Address - Street 1:21163 NEWPORT COAST DR # 176
Mailing Address - Street 2:
Mailing Address - City:NEWPORT COAST
Mailing Address - State:CA
Mailing Address - Zip Code:92657-1123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:369 SAN MIGUEL DR STE 200
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7850
Practice Address - Country:US
Practice Address - Phone:949-630-0008
Practice Address - Fax:281-393-4025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty