Soeprono Medical Corporation
Soeprono Medical Corporation provides Dermatopathology Physician services in Redlands, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
255 Terracina Blvd Ste 206Redlands, CA 92373-4870 Not confirmed with CMS for 14 years — call before visiting
Phone: (909) 792-8600
Fax: (909) 792-8660
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology Physician (primary) | Taxonomy 207ND0900X · Licence G28216 (CA) |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence 005D0573825 (CA) |
Record details
| NPI number | 1306194261 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fred Soeprono — President · (951) 203-5000 |
| NPI enumerated | August 27, 2012 |
| Last updated in NPPES | September 6, 2012 |
| Mailing address | Po Box 1180, Loma Linda, CA 92354-1180 |
Other providers in Redlands
-
Mona Maghsoodi-Deerwester, MD, MSC
101 E Redlands Blvd Ste 284, Redlands, CA 92373-4721 · (909) 707-5979