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Individual

ANDREW LEE SORENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3010 COLBY ST, STE 114, BERKELEY, CA 94705-2059
(510) 848-1413
(510) 848-7347
Mailing address
3010 COLBY ST, STE 114, BERKELEY, CA 94705-2059
(510) 848-1413
(510) 848-7347

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G66123
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G815550
STATE MEDICAL LICENSE
CA
05
GR0021950
CA
Enumeration date
09/27/2006
Last updated
04/17/2008
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