Individual
DERRY SONTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2305 CARLOS ST, B, MOSS BEACH, CA 94038-9666
(650) 728-7106
(650) 728-5459
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC29103
LICENSE
CA
Enumeration date
03/17/2008
Last updated
03/17/2008
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