Provider Demographics
NPI:1598767170
Name:KRAFCIK, SONJA STUMME (MD)
Entity type:Individual
Prefix:DR
First Name:SONJA
Middle Name:STUMME
Last Name:KRAFCIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:25500 RANCHO NIGUEL RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-7302
Mailing Address - Country:US
Mailing Address - Phone:949-831-3686
Mailing Address - Fax:949-831-3651
Practice Address - Street 1:25500 RANCHO NIGUEL RD
Practice Address - Street 2:SUITE 150
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-7302
Practice Address - Country:US
Practice Address - Phone:949-831-3686
Practice Address - Fax:949-831-3651
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2014-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC51621207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC51621OtherSTATE MEDICAL LICENSE
CAF81505Medicare UPIN
CAC51621OtherSTATE MEDICAL LICENSE