Provider Demographics
NPI:1295803591
Name:SORDETTO, JOSEPH JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JAMES
Last Name:SORDETTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 MOBIL AVE
Mailing Address - Street 2:#112
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6371
Mailing Address - Country:US
Mailing Address - Phone:805-482-8819
Mailing Address - Fax:805-482-8810
Practice Address - Street 1:266 MOBIL AVE
Practice Address - Street 2:#112
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6371
Practice Address - Country:US
Practice Address - Phone:805-482-8819
Practice Address - Fax:805-482-8810
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor