Healthcare Provider Details

I. General information

NPI: 1114840592
Provider Name (Legal Business Name): SOFIA ISABELLA ARONOVSKY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 FOLSOM ST STE 702
SAN FRANCISCO CA
94107-4502
US

IV. Provider business mailing address

3200 ADELINE ST
BERKELEY CA
94703-2407
US

V. Phone/Fax

Practice location:
  • Phone: 510-601-0203
  • Fax:
Mailing address:
  • Phone: 510-601-0203
  • Fax: 510-601-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: