Robert Aurelio Soto
Nurse Practitioner, Family in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164049599
StatusActive
Last updated in NPPESMay 7, 2024
Details
- NPI
- 1164049599
- Entity type
- Individual (NPI-1)
- Name
- Robert Aurelio Soto
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2020
- Certification date
- Jul 1, 2020
- Last updated
- May 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95014085 | CA | Yes |
Practice location
3710 E Cesar E Chavez AveLos Angeles, CA 90063-2219
Phone 323-980-7777
Mailing address
15236 Freeman AveLawndale, CA 90260-2130
Phone 310-483-5892
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