Sornson, Mark William
Sornson, Mark William is an individual health care provider with primary practice located at 16950 Via Tazon , San Diego CA 92127-1607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Sornson, Mark William can be contacted via phone (858) 521-2393.Contact Information
Primary practice address
16950 Via Tazon
San Diego CA 92127-1607
Phone: (858) 521-2393
Fax: (858) 521-2017
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A69605 | California |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | A69605 | California |
Profile Details
NPI number | 1629189550 |
---|---|
LBN Legal business name | Sornson, Mark William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Jun 20th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629189550 | NPPES |
California | MEDICAID | 00A696050 |
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