Provider Demographics
NPI:1497950448
Name:SOGOCIO, KRISTINA MAE (MD)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MAE
Last Name:SOGOCIO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:731 E YOSEMITE AVE SUITE B
Mailing Address - Street 2:PMB 317
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340
Mailing Address - Country:US
Mailing Address - Phone:209-723-6624
Mailing Address - Fax:877-682-6602
Practice Address - Street 1:360 E YOSEMITE AVE
Practice Address - Street 2:300
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8201
Practice Address - Country:US
Practice Address - Phone:209-723-6624
Practice Address - Fax:209-723-3877
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2020-12-02
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08268300207V00000X
CAA108754207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology