Doctor Name: | ERIC SOTO |
NPI Number: | 1033557301 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 1110524 |
Business Practice Address: | 107 Norumbega Dr Monrovia, CA - 91016 |
Business Phone Number: | 7027887307 |
Business Fax Number: | |
Mailing Address: | 3871 Valle Vista Dr, CHINO HILLS |
State: | CA |
Postal Code: | 917092917 |
Phone Number: | 7025414577 |
Fax Number: | |
NPI Enumeration Date: | 06/10/2013 |
NPI Last Update Date: | 01/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1110524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |