MEDICARE: MARY ANNE STERNER-SOSA M.D.

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	174400000X	Specialist	G67319	CA

General Provider Information

NPI Number	:	1083678908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANNE STERNER-SOSA M.D.

Provider Business Mailing Address
First Line	:	1600 CREEKSIDE DR
Second Line	:	SUITE 2500
City	:	FOLSOM
State	:	CA
Zip	:	95630-3444
Country	:	US
Telephone Number	:	916-983-3500
Fax Number	:	916-983-8437

Provider Business Practice Location Address
First Line	:	1600 CREEKSIDE DR
Second Line	:	SUITE 2500
City	:	FOLSOM
State	:	CA
Zip	:	95630-3444
Country	:	US
Telephone Number	:	916-983-3500
Fax Number	:	916-983-8437

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	07/08/2007

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