Carbonell, Sonia

Carbonell, Sonia is an sole proprietor health care provider with primary practice located at 6136 Mission Gorge Rd Suite 129, San Diego CA 92120-3494. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Carbonell, Sonia can be contacted via phone (619) 282-4270.

Contact Information

Primary practice address
6136 Mission Gorge Rd Suite 129 San Diego CA 92120-3494
Phone: (619) 282-4270
Fax: (619) 282-4272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1744 Minnesota
Behavioral Health & Social Service Providers / Forensic 103TF0200X 19752 California

Profile Details

NPI number 1902976343
LBN Legal business name Carbonell, Sonia
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated May 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902976343 NPPES
California MEDICAID 1902976343

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