Sonneborn, George M

Sonneborn, George M is an individual health care provider with primary practice located at 1855 N Fair Oaks Ave # 200 , Pasadena CA 91103-1620. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sonneborn, George M can be contacted via phone (626) 398-6300.

Contact Information

Primary practice address
1855 N Fair Oaks Ave # 200 Pasadena CA 91103-1620
Phone: (626) 398-6300
Fax: (626) 398-5840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X AFE23957 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X AFE23957 California

Profile Details

NPI number 1922187962
LBN Legal business name Sonneborn, George M
Credentials AFE23957
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated May 29th, 2008 - about 16 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 1922187962 NPPES
California Other 187689315 CHAP NPI
California MEDICAID FHC70768F CHAP NPI
California MEDICAID HAP70768F CHAP NPI
California MEDICAID EAP70768F CHAP NPI

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