Sornson, Mark William

Sornson, Mark William is an individual health care provider with primary practice located at 16950 Via Tazon , San Diego CA 92127-1607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Sornson, Mark William can be contacted via phone (858) 521-2393.

Contact Information

Primary practice address
16950 Via Tazon San Diego CA 92127-1607
Phone: (858) 521-2393
Fax: (858) 521-2017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A69605 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X A69605 California

Profile Details

NPI number 1629189550
LBN Legal business name Sornson, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629189550 NPPES
California MEDICAID 00A696050

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