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Contact Information

SONIA DEVGAN KACKER, MD
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA90292-5424
 Phone: 310-827-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for SONIA DEVGAN KACKER · (Female)

NPI # 1528002839
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2006
Last updated 01/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A67070
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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