Organization · Type 2 NPI

Soria Trust

Adult Medicine Physician · Los Angeles, CA

NPI number 1447093794 Active

Practice location

400 W 30th St
Los Angeles, CA 90007-3320

Mailing address

16300 Roscoe Blvd Ste A1
Van Nuys, CA 91406-1246

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1447093794

Soria Trust's National Provider Identifier is 1447093794, issued on Jun 14, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 3, 2025.