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Alexis Soto

Social Worker, Clinical in Garden Grove, CA. Individual provider (NPI-1).

NPI number1679439509
StatusActive
Last updated in NPPESOct 27, 2026

Details

NPI
1679439509
Entity type
Individual (NPI-1)
Name
Alexis Soto
Sole proprietor
No
Enumeration date
Jan 5, 2026
Certification date
Oct 27, 2026
Last updated
Oct 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical140791CAYes

Practice location

10331 Stanford Ave
Garden Grove, CA 92840-6351

Phone 714-663-6000

Mailing address

10331 Stanford Ave
Garden Grove, CA 92840-6351

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