Organization
SORENSON & SORENSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LYNN SORENSON M.D. (PHYSICIAN OWNER)
(510) 848-1413
Entity
Organization
Contact information
Practice address
3010 COLBY ST, SUITE 114, BERKELEY, CA 94705-2059
(510) 848-1413
(510) 848-7347
Mailing address
3010 COLBY ST, SUITE 114, BERKELEY, CA 94705-2059
(510) 848-1413
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
07 00003652
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP5491
RAILROAD MEDICARE
CA
05
—
GR0021950
—
CA
Enumeration date
03/06/2007
Last updated
10/04/2016
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