MEDICARE: MS. SONAL VASANT PHATAK 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	A90261	CA
2	207R00000X	Internal Medicine Physician	A90261	CA

General Provider Information

NPI Number	:	1932291119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SONAL VASANT PHATAK M.D.

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 E VICTORIA ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2018
Country	:	US
Telephone Number	:	805-564-3233
Fax Number	:

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	02/03/2026

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