Healthcare Provider Details

I. General information

NPI: 1184637308
Provider Name (Legal Business Name): SOPHIA JONES M.D. PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 SAND CANYON AVE BLDG 200
IRVINE CA
92618-3714
US

IV. Provider business mailing address

2995 RED HILL AVE STE 100
COSTA MESA CA
92626-5984
US

V. Phone/Fax

Practice location:
  • Phone: 949-557-0640
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA88425
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: