Rodney Drace Sornson | La Jolla, CA • PECOS Search

Rodney Drace Sornson

Emergency Medicine

Allopathic & Osteopathic Physicians

1427 Cottontail Ln, La Jolla, CA 92037-7428

PECOS Enrollment

Based on the most recent information from CMS, provider Rodney Drace Sornson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1295073153
Provider Type
Individual
Full Name
Sornson, Rodney Drace
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/27/2013
Last Updated
1/27/2013

Contact Information

Practice Location

1427 Cottontail Ln, La Jolla, CA 92037-7428

Unlisted Fax

Mailing Location

1427 Cottontail Ln, La Jolla, CA 92037-7428

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License C22729 California