Provider Demographics
NPI:1518222587
Name:SOFRONI, EMANUELA (MD)
Entity Type:Individual
Prefix:
First Name:EMANUELA
Middle Name:
Last Name:SOFRONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 W JANSS RD STE 125
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1856
Mailing Address - Country:US
Mailing Address - Phone:805-242-4884
Mailing Address - Fax:
Practice Address - Street 1:227 W JANSS RD STE 125
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1856
Practice Address - Country:US
Practice Address - Phone:805-242-4884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1261892084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology