Wellformed AI

NPI 1063275477 · live from the CMS NPI Registry

Sourabh Arora, MD

Preventive Medicine, Public Health & General Preventive Medicine in Santa Monica, CA. National Provider Identifier 1063275477, active.

NPI record

NPI1063275477 Type 1 · individual
StatusActive
Primary specialtyPreventive Medicine, Public Health & General Preventive Medicine 2083P0901X
Practice location2222 Santa Monica Blvd Ste 105, Santa Monica, CA 90404
Practice phone213-214-8738
Mailing address13700 Marina Pointe Dr Unit 1225, Marina Del Rey, CA 90292
EnumeratedJanuary 31, 2024
Last updatedJanuary 31, 2024
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology207N00000XME166458 (FL)
Ophthalmology207W00000XME166458 (FL)
Preventive Medicine, Public Health & General Preventive Medicine primary2083P0901XME166458 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.