Provider Demographics
NPI:1255512836
Name:DURIEZ, SOPHIE FRANCOISE (MD)
Entity type:Individual
Prefix:DR
First Name:SOPHIE
Middle Name:FRANCOISE
Last Name:DURIEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9400 BRIGHTON WAY
Mailing Address - Street 2:SUITE 407
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4714
Mailing Address - Country:US
Mailing Address - Phone:310-271-8407
Mailing Address - Fax:310-271-8406
Practice Address - Street 1:9400 BRIGHTON WAY
Practice Address - Street 2:SUITE 407
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4714
Practice Address - Country:US
Practice Address - Phone:310-271-8407
Practice Address - Fax:310-271-8406
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-24
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA819122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI50692Medicare UPIN