Healthcare Provider Details

I. General information

NPI: 1770380370
Provider Name (Legal Business Name): SOPHIE MARILYN VOSS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 PARNASSUS AVE
SAN FRANCISCO CA
94143-2205
US

IV. Provider business mailing address

198 MCALLISTER ST APT 401
SAN FRANCISCO CA
94102-4907
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1239
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number22223
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: