Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nisreen Soufi, MD

Individual provider Pediatrics Physician · NPI 1790934800

Dr. Nisreen Soufi, MD is a Pediatric Medicine in Duarte, California. Qualified in 2007, 19 years ago. Practices with Childrens Hospital Los Angeles Medical Group Inc, a 288-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
19
Licensed in
CA, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Duarte Rd
Duarte, CA 91010-3012
Phone: (626) 256-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence A130466 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 2008013221 (MO)

Record details

NPI number1790934800
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2008
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing addressPo Box 512185, Los Angeles, CA 90051-0185

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Childrens Hospital Los Angeles Medical Group Inc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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