MEDICARE: DR. YULIYA SORKIN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6628	AZ
2	122300000X	Dentist	57790	CA

General Provider Information

NPI Number	:	1184640716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YULIYA SORKIN DDS

Provider Business Mailing Address
First Line	:	25937 N. THE OLD ROAD
Second Line	:
City	:	STEVENSON RANCH
State	:	CA
Zip	:	91381-1714
Country	:	US
Telephone Number	:	661-799-1991
Fax Number	:	661-799-9238

Provider Business Practice Location Address
First Line	:	25937 N. THE OLD ROAD
Second Line	:
City	:	STEVENSON RANCH
State	:	CA
Zip	:	91381-1714
Country	:	US
Telephone Number	:	661-799-1991
Fax Number	:	661-799-9238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	04/10/2024

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