Provider Demographics
NPI:1447302823
Name:SOBNOSKY, SERAP (MD)
Entity type:Individual
Prefix:
First Name:SERAP
Middle Name:
Last Name:SOBNOSKY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1045 ATLANTIC AVE STE 611
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3414
Mailing Address - Country:US
Mailing Address - Phone:562-432-0111
Mailing Address - Fax:562-276-0799
Practice Address - Street 1:1045 ATLANTIC AVE STE 611
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3414
Practice Address - Country:US
Practice Address - Phone:562-432-0111
Practice Address - Fax:562-276-0799
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2018-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA95191207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine