Provider Demographics
NPI:1699503623
Name:DOROKHIN, SOFIYA NIKOLE (AUD)
Entity type:Individual
Prefix:DR
First Name:SOFIYA
Middle Name:NIKOLE
Last Name:DOROKHIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MISS
Other - First Name:SOFIYA
Other - Middle Name:NIKOLE
Other - Last Name:NEVEROV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:421 MYRTLE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95605-2020
Mailing Address - Country:US
Mailing Address - Phone:916-595-8167
Mailing Address - Fax:
Practice Address - Street 1:7373 WEST LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-3377
Practice Address - Country:US
Practice Address - Phone:209-476-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3926237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter