Provider Demographics
NPI:1891837373
Name:AVAL, SOHEIL M (MD)
Entity Type:Individual
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First Name:SOHEIL
Middle Name:M
Last Name:AVAL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:18102 IRVINE BOULEVARD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3423
Mailing Address - Country:US
Mailing Address - Phone:714-508-4123
Mailing Address - Fax:714-508-4134
Practice Address - Street 1:18102 IRVINE BOULEVARD
Practice Address - Street 2:SUITE 107
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3423
Practice Address - Country:US
Practice Address - Phone:714-508-4123
Practice Address - Fax:714-508-4134
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA067928207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
H99523Medicare UPIN