Provider Demographics
NPI:1417001207
Name:SONIA C ZARATE NAVARRO M.D. INC
Entity Type:Organization
Organization Name:SONIA C ZARATE NAVARRO M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:CATALINA
Authorized Official - Last Name:ZARATENAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-994-1113
Mailing Address - Street 1:901 CAMPUS DR
Mailing Address - Street 2:SUITE 313
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-4900
Mailing Address - Country:US
Mailing Address - Phone:650-994-1113
Mailing Address - Fax:650-994-5619
Practice Address - Street 1:901 CAMPUS DR
Practice Address - Street 2:SUITE 313
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-4900
Practice Address - Country:US
Practice Address - Phone:650-994-1113
Practice Address - Fax:650-994-5619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA254480207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A254480Medicaid
CA00A254480Medicaid
CA00A254480Medicare PIN