Most Relevant Information
Provider Data
| NPI Number: | 1003388794 |
| Provider Name: | CARMEN SOTO |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2018 |
| Last Updated: | 12/19/2018 |
Provider Practice Location
25201 PASEO DE ALICIA STE 110
LAGUNA HILLS
CA
926534627
Practice Location Phone/Fax
| Phone: | 8182416780 |
| Fax: | 8182416853 |
Provider Mailing Location
206 N JACKSON ST STE 202
GLENDALE
CA
912064330
Provider Mailing Phone/Fax
| Phone: | 8182416780 |
| Fax: | 8182416853 |