Provider Demographics
NPI:1588600555
Name:SOHN, ROGER C JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROGER
Middle Name:C
Last Name:SOHN
Suffix:JR
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:ROGER
Other - Middle Name:C
Other - Last Name:SOHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:31920 DEL OBISPO ST STE 170
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-3193
Mailing Address - Country:US
Mailing Address - Phone:949-691-3131
Mailing Address - Fax:949-940-8311
Practice Address - Street 1:31920 DEL OBISPO ST STE 170
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675
Practice Address - Country:US
Practice Address - Phone:949-691-3131
Practice Address - Fax:949-940-8311
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83858207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine