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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SONJA DEROSE, MD

Active

SONJA DEROSE, MD is a Family Medicine healthcare provider located in CLEARLAKE, California. NPI 1558849661 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CLEARLAKE, CA

Registration Details

NPI Number
1558849661
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2018 (7.856294552665 yrs)
Last Updated
Jul 31, 2018
License
G151475 (CA)

Practice Information

Address
15230 LAKESHORE DR
CLEARLAKE, CA, 954228107
Browse CA providers · Browse ZIP 95422
Phone
7079954500
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CLEARLAKE, CA

Name Credential NPI
DR. MARK J FREEMAN MD 1801898929
DR. JOHN ALDEN WEEKS M.D. 1962473074
DR. JERRY EDWARD DOUGLAS MD 1285603621
WOLFGANG SCHUG MD 1598798233
GAIL MARQUETTE FNP 1205851656
SUSAN SALMINA FNP-C 1700322690
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.