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NPI Code Detail

MEDICARE: SORENA HEALTH, LLC

MEDICARE: SORENA HEALTH, LLC
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
12084P0802XAddiction Psychiatry Physician
22084P0804XChild & Adolescent Psychiatry Physician
32084P0805XGeriatric Psychiatry Physician
42084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1346188604
Entity Type Code : Organization
Provider Name (Legal Business Name) : SORENA HEALTH, LLC
Provider Business Mailing Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 520-447-1606
Fax Number : 520-244-3835
Provider Business Practice Location Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 520-447-1606
Fax Number : 520-244-3835
Authorized Official
Title or Position : CEO
Name : MR. BRANDON TOBIN
Credential :
Telephone Number : 520-447-1606
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “SORENA HEALTH, LLC ” Practice Location

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