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

Teresa Tabora Soriano, MD

Individual provider Dermatology Physician · NPI 1629158217

Teresa Tabora Soriano, MD is a Dermatology in Los Angeles, California. Graduated from University of California, Davis School of Medicine in 1995, 31 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
31
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
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

200 Medical Plz #450
Los Angeles, CA 90095
Phone: (310) 825-6911
Fax: (310) 794-7005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A62639 (CA)

Record details

NPI number1629158217
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESDecember 26, 2012

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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