Healthcare Provider Details

I. General information

NPI: 1285599373
Provider Name (Legal Business Name): SONIA DING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28999 OLD TOWN FRONT ST
TEMECULA CA
92590-5805
US

IV. Provider business mailing address

2210 GREENBRIER DR
OCEANSIDE CA
92054-4306
US

V. Phone/Fax

Practice location:
  • Phone: 951-261-8392
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN723798
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: