Individual provider · Type 1 NPI

Elizaveta Souboch, MD

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1922701887 Active

Practice location

250 Hospital Pkwy
San Jose, CA 95119-1103

Call (408) 972-3000 Map

Other practice locations

  • 1922 The Alameda, San Jose, CA 95126-1457 · (408) 261-7777

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Integrative Medicine Physician 202D00000XA199597 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922701887

Elizaveta Souboch, MD's National Provider Identifier is 1922701887, issued on Mar 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Jun 23, 2026.