# SPARC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780722199
- **Authorized official:** MARK SONTAG M.D. (OWNER)
- **Authorized official phone:** (650) 780-0575

## Contact information

- **Practice address:** 363 MAIN ST \# B, REDWOOD CITY, CA 94063-1729
- **Practice address phone:** (650) 780-0575
- **Mailing address:** 363 MAIN ST \# B, REDWOOD CITY, CA 94063-1729
- **Mailing address phone:** (650) 780-0575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 6052976 | CA | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020