Provider Demographics
NPI:1538431598
Name:WILLIAM N SOKOL JR M D INC
Entity type:Organization
Organization Name:WILLIAM N SOKOL JR M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:N
Authorized Official - Last Name:SOKOL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:949-645-3374
Mailing Address - Street 1:400 NEWPORT CENTER DR
Mailing Address - Street 2:#406
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-645-3374
Mailing Address - Fax:949-645-2410
Practice Address - Street 1:400 NEWPORT CENTER DR
Practice Address - Street 2:#406
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-645-3374
Practice Address - Fax:949-645-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC31823207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A34721Medicare UPIN