Healthcare Provider Details

I. General information

NPI: 1790795698
Provider Name (Legal Business Name): HOWARD M SOKOLOFF, DPM,MS,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 05/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 NORRIS CANYON RD SUITE 240
SAN RAMON CA
94583-5407
US

IV. Provider business mailing address

5601 NORRIS CANYON RD SUITE 240
SAN RAMON CA
94583-5407
US

V. Phone/Fax

Practice location:
  • Phone: 925-830-2929
  • Fax: 925-830-2995
Mailing address:
  • Phone: 925-830-2929
  • Fax: 925-830-2995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: GERRI M MACGREGOR
Title or Position: MEDICAL PRACTICE CONSULTANT
Credential:
Phone: 925-786-0109