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General NPI Number Information
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NPI Number | 1003010794
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Entity Type | Individual
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Provider Name | JULIO C SOKOLICH MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 15211 VANOWEN ST STE 208
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City | VAN NUYS
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State | CA
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Zip | 91405-3623
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Country | US
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Telephone | 818-782-3255
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Fax | 818-782-7026
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Provider Business Mailing Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-265-0680
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | C145272
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License Number State | CA
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