Provider Demographics
NPI:1356880629
Name:SOBCZYK, JEAN-MARC (ND)
Entity type:Individual
Prefix:DR
First Name:JEAN-MARC
Middle Name:
Last Name:SOBCZYK
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 ARIZONA AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-1408
Mailing Address - Country:US
Mailing Address - Phone:310-451-8880
Mailing Address - Fax:
Practice Address - Street 1:8733 BEVERLY BLVD STE 301
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1843
Practice Address - Country:US
Practice Address - Phone:424-666-2420
Practice Address - Fax:424-204-1464
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-19
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND877175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath