# MARK V SOFONIO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Plastic & Reconstructive Surgery & Laser Medical Center of the Desert
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386350072
- **Authorized official:** MARK VINCENT SOFONIO MD (OWNER)
- **Authorized official phone:** (760) 341-5555

## Contact information

- **Practice address:** 71885 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4446
- **Practice address phone:** (760) 341-5555
- **Practice address fax:** (760) 341-8054
- **Mailing address:** 71885 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4446
- **Mailing address phone:** (760) 341-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2023
- **Last updated:** 05/06/2025