Individual
JOSEPH SORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1816 SCENIC AVE, BERKELEY, CA 94709-1324
(510) 526-6200
(510) 665-3176
Mailing address
1816 SCENIC AVE, BERKELEY, CA 94709-1324
(510) 526-6200
(510) 665-3176
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
268243
CA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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