Individual
GREGORY GEORGE SOKOLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 COTTONWOOD ST, WOODLAND, CA 95695-5131
(530) 662-3961
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 900-3125
(510) 879-4077
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
A63076
CA
2084P0800X
Psychiatry Physician
Primary
A63076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A630760
—
CA
Enumeration date
11/22/2005
Last updated
07/22/2021
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