Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 32499 | CA |
N | 111NR0400X | Rehabilitation Chiropractor | 11972 | TX |
NPI | 1033461348 |
---|---|
Provider Name | Dr. Atherton L Sorrenti |
First Address | San Diego, CA 92130-3060 |
Second Address | San Diego, CA 92130-3060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2012 |
Last Update Date | 27/02/2017 |