MEDICARE: RONALD LEO SORIANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	8751	CA

General Provider Information

NPI Number	:	1528458940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD LEO SORIANO

Provider Business Mailing Address
First Line	:	9 EL CORZO
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-3507
Country	:	US
Telephone Number	:	310-408-2290
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 EL CORZO
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-3507
Country	:	US
Telephone Number	:	310-408-2290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2015
Last Update Date	:	01/24/2015

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Directions to “ RONALD LEO SORIANO ” Practice Location

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