Organization · Type 2 NPI

Mark V Sofonio MD Inc

Ambulatory Surgical Clinic/Center · Rancho Mirage, CA

NPI number 1386350072 Active

Practice location

71885 Highway 111
Rancho Mirage, CA 92270-4446

Fax (760) 341-8054

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician	208200000X	None listed
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

Another provider at this address

Mark Vincent Sofonio, MDPlastic Surgery Physician Rancho Mirage, CA NPI 1700868718

Other ambulatory surgical clinic/center providers in Rancho Mirage

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NPI record

NPI: 1386350072
Entity type: Organization (Type 2)
Issued: Jan 25, 2023
Last updated: May 6, 2025
Status: Active

Other names

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Plastic & Reconstructive Surgery & Laser Medical Center of the Desert · doing business as

Authorized official

Mark Vincent Sofonio, MD
Owner
(760) 341-5555

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386350072

Mark V Sofonio MD Inc's National Provider Identifier is 1386350072, issued on Jan 25, 2023. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Rancho Mirage, CA. The record was last updated on May 6, 2025.