Provider Demographics
NPI:1619110541
Name:MACARIOLA, SONIA SABLAD (MSN, RNC)
Entity Type:Individual
Prefix:MISS
First Name:SONIA
Middle Name:SABLAD
Last Name:MACARIOLA
Suffix:
Gender:F
Credentials:MSN, RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19717 DONNA AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-6438
Mailing Address - Country:US
Mailing Address - Phone:562-881-0986
Mailing Address - Fax:
Practice Address - Street 1:17620 BELLFLOWER BLVD
Practice Address - Street 2:SUITE B 107
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-8070
Practice Address - Country:US
Practice Address - Phone:562-867-7098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16427363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health