| Doctor Name: | SOFIA VAISMAN |
| NPI Number: | 1497846638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A036979 |
| Business Practice Address: | 22600 Ventura Blvd Ste 101 Woodland Hills, CA - 913641430 |
| Business Phone Number: | 8182251255 |
| Business Fax Number: | |
| Mailing Address: | 22600 Ventura Blvd Ste 101, WOODLAND HILLS |
| State: | CA |
| Postal Code: | 913641430 |
| Phone Number: | 8182251255 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 02/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A036979 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |