Individual
DR. SHERRY ELLEN SONKA-MAAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 W SEVENTH STREET, LITTLE COMPANY OF MARY SAN PEDRO HOSPITAL REHABCENTRE, SAN PEDRO, CA 90732-3505
(310) 386-2305
(310) 540-4640
Mailing address
PO BOX 4245, REDONDO BEACH, CA 90277-1759
(310) 386-2305
(310) 540-4640
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G73058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G730580
BLUE SHIELD OF CA
CA
05
—
00G730580
—
CA
Enumeration date
09/06/2006
Last updated
07/08/2007
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