MEDICARE: PAMELA MARIE SOTO

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	S0407170928	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4385	OTHER	CA	SIMON STAFF NUMBER

General Provider Information

NPI Number	:	1720281389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA MARIE SOTO

Provider Business Mailing Address
First Line	:	PO BOX 7369
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92375-0369
Country	:	US
Telephone Number	:	909-335-7067
Fax Number	:	909-792-2045

Provider Business Practice Location Address
First Line	:	34324 YUCAIPA BLVD STE B
Second Line	:
City	:	YUCAIPA
State	:	CA
Zip	:	92399-2496
Country	:	US
Telephone Number	:	909-790-1300
Fax Number	:	909-797-9687

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

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1952078271 — MARY ELLEN GARCIA
Practice Location Address:

34324 YUCAIPA BLVD STE B-D
YUCAIPA, CA
92399-2496

Practice Phone: 877-522-7187
Practice Fax:

1093845422 — VISTA GUIDANCE CENTERS, INC.
Practice Location Address:

34324 YUCAIPA BLVD , SUITE B-D
YUCAIPA, CA
92399-2496

Practice Phone: 909-790-1300
Practice Fax: 909-797-9687

1295941953 — LAURIE DIANE ROACH
Practice Location Address:

34324 YUCAIPA BLVD STE B-D
YUCAIPA, CA
92399-2496

Practice Phone: 909-790-1300
Practice Fax:

1649481441 — MICHELLE HAYES
Practice Location Address:

34324 YUCAIPA BLVD , SUITE B
YUCAIPA, CA
92399-2496

Practice Phone: 909-790-1300
Practice Fax: 909-797-9687

1093910580 — ROSEANNE VALDEZ-HUGHES
Practice Location Address:

34324 YUCAIPA BLVD , SUITE B
YUCAIPA, CA
92399-2496

Practice Phone: 909-790-1300
Practice Fax: 909-797-9687

1487840369 — MRS. NOELIA REBECA GALVEZ-NELSON LCSW
Practice Location Address:

34324 YUCAIPA BLVD , SUITE B-D
YUCAIPA, CA
92399-2496

Practice Phone: 909-790-1300
Practice Fax: 909-797-9687

Directions to “ PAMELA MARIE SOTO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.