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Sonja Zoe Opal Eagle

Emergency Medicine

Allopathic & Osteopathic Physicians

8910 Villa La Jolla Dr Ste 100, La Jolla, CA 92037-1701

PECOS Enrollment

This provider is enrolled in PECOS as SONJA EAGLE.

Based on the most recent information from CMS, provider Sonja Zoe Opal Eagle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1699394114
Provider Type
Individual
Full Name
Eagle, Sonja Zoe Opal
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/14/2020
Last Updated
6/3/2024

Contact Information

Practice Location

8910 Villa La Jolla Dr Ste 100, La Jolla, CA 92037-1701

(800) 926-8273

Unlisted Fax

Mailing Location

File 57326, Los Angeles, CA 90074-7326

(800) 926-8273

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A188644 California

Sonja Zoe Opal Eagle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gormican, Stephen Peter

Witucki, Peter J

Jackier, Martin L

Oyama, Leslie C

Wiesner, Christopher T

Regents Of The Unviersity Of California

Neuendorf, Johannes M.

Olcott, Mark Vernon

Guss, David

Guluma, Kama Z