Individual
DR. MARK WILLIAM SORNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2393
(858) 521-2017
Mailing address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2393
(858) 521-2017
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A69605
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A69605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A696050
—
CA
Enumeration date
08/31/2006
Last updated
06/20/2023
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