Provider Demographics
NPI:1356968838
Name:SOKOLOFF, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SOKOLOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7316 SANTA MONICA BLVD APT 236
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6673
Mailing Address - Country:US
Mailing Address - Phone:541-206-0350
Mailing Address - Fax:
Practice Address - Street 1:7316 SANTA MONICA BLVD APT 236
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-6673
Practice Address - Country:US
Practice Address - Phone:541-206-0350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No172V00000XOther Service ProvidersCommunity Health Worker