MEDICARE: ARTHUR SORRELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	A70062	CA

General Provider Information

NPI Number	:	1073661005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR SORRELL MD

Provider Business Mailing Address
First Line	:	4301 N STAR WAY
Second Line	:
City	:	MODESTO
State	:	CA
Zip	:	95356-9262
Country	:	US
Telephone Number	:	209-342-2300
Fax Number	:	209-524-4240

Provider Business Practice Location Address
First Line	:	CASTRO AND DUBOCE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-3240
Country	:	US
Telephone Number	:	415-565-6060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/29/2009

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