Individual
DAVID L SODARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1451 IRVINE BLVD, TUSTIN, CA 92780-3804
(714) 838-8878
(714) 838-8988
Mailing address
17360 BROOKHURST ST, ATTN: MCMF - CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A39157
CA
Other
Enumeration date
10/12/2006
Last updated
02/18/2015
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