Most Relevant Information
Provider Data
| NPI Number: | 1003279621 |
| Provider Name: | SOROOSH AMANAT M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | A153022 |
Most Important Dates
| Enumeration Date: | 03/31/2016 |
| Last Updated: | 10/06/2020 |
Provider Practice Location
971 LANE AVE
CHULA VISTA
CA
919143501
Practice Location Phone/Fax
| Phone: | 6195027300 |
| Fax: |
Provider Mailing Location
10790 RANCHO BERNARDO RD
SAN DIEGO
CA
921275705
Provider Mailing Phone/Fax
| Phone: | 6195027300 |
| Fax: |
Suggested EMR
Family Practice EMR