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JOHN RUSSELL SORDEAN OMD LAC ND NPI 1033241930


NPI Information

NPI: 1033241930
Provider Name: JOHN RUSSELL SORDEAN, OMD LAC ND
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
1720 BANCROFT WAY
BERKELEY, CA
ZIP 94703
Phone: (510) 849-1176
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John Russell Sordean, OMD LAC ND is an acupuncturist in Berkeley, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. John Russell Sordean, OMD LAC ND NPI is 1033241930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1720 BANCROFT WAY
BERKELEY, CA
ZIP 94703
Phone: (510) 849-1176
Fax: (510) 849-1230

The enumeration date for this NPI number is 3/9/2007 and was last updated on 1/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistAC2239CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.