Provider Demographics
NPI:1023512126
Name:THORNE, SOFIA LIOU (MD)
Entity type:Individual
Prefix:
First Name:SOFIA
Middle Name:LIOU
Last Name:THORNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SOFIA
Other - Middle Name:
Other - Last Name:LIOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11000 WEYBURN DR APT 773
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-2832
Mailing Address - Country:US
Mailing Address - Phone:408-646-6398
Mailing Address - Fax:
Practice Address - Street 1:924 WESTWOOD BLVD STE 705
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-2959
Practice Address - Country:US
Practice Address - Phone:310-267-5709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA165479207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology