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Sophia Formosa

NPI 1801788542 · on the registry since 2025

Practice

Address
733 Cedar St
Garberville, CA 95542
Phone
(707) 923-3921
Organisation at this address
Humboldt Radiology Medical Group Inc
Southern Humboldt Community Healthcare District
Southern Humboldt Community Healthcare District
Southern Humboldt Community Healthcare District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California