MEDICARE: DR. PETER WARREN SOBALLE M.D.

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	2086X0206X	Surgical Oncology Physician	21560	FL

General Provider Information

NPI Number	:	1659364958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER WARREN SOBALLE M.D.

Provider Business Mailing Address
First Line	:	2284 6TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2107
Country	:	US
Telephone Number	:	619-255-1178
Fax Number	:	619-532-7673

Provider Business Practice Location Address
First Line	:	2284 6TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2107
Country	:	US
Telephone Number	:	619-255-1178
Fax Number	:	619-532-7673

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	12/02/2016

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1356319099 — SAN DIEGORHEUMATOLOGY MEDICAL GROUP, INC.
Practice Location Address:

202 LEWIS ST
SAN DIEGO, CA
92103-2107

Practice Phone: 619-293-0351
Practice Fax: 619-293-0352

1437350345 — TURNING POINT HOME OF SAN DIEGO, INC.
Practice Location Address:

1315 25TH ST
SAN DIEGO, CA
92102-2107

Practice Phone: 619-233-0067
Practice Fax: 619-233-3990

1932680709 — STEPHANIE SOBKA
Practice Location Address:

1315 25TH ST
SAN DIEGO, CA
92102-2107

Practice Phone: 196-233-0067
Practice Fax:

1821571340 — AKILAH MILLER CADC II
Practice Location Address:

1315 25TH ST
SAN DIEGO, CA
92102-2107

Practice Phone: 619-233-0067
Practice Fax:

1326521402 — SARAH OLMEDO CADC I
Practice Location Address:

1315 25TH ST
SAN DIEGO, CA
92102-2107

Practice Phone: 619-233-0067
Practice Fax:

Directions to “ DR. PETER WARREN SOBALLE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.