Provider Demographics
NPI:1013920693
Name:RASMINSKY, SONYA RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:RACHEL
Last Name:RASMINSKY
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 1:1000 QUAIL ST
Mailing Address - Street 2:SUITE 165
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-734-4912
Mailing Address - Fax:888-859-4165
Practice Address - Street 1:1000 QUAIL ST
Practice Address - Street 2:SUITE 165
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-734-4912
Practice Address - Fax:888-859-4165
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-1092392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H96217Medicare UPIN