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NPI Code Detail

MEDICARE: LEAH SOTELO

MEDICARE: LEAH SOTELO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1902343544
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH SOTELO
Provider Business Mailing Address
First Line : 1550 CENTRAL AVE APT 15
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-0617
Country : US
Telephone Number : 951-347-6687
Fax Number :
Provider Business Practice Location Address
First Line : 7226 SEPULVEDA BLVD
Second Line :
City : VAN NUYS
State : CA
Zip : 91405-2003
Country : US
Telephone Number : 818-235-1414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2017
Last Update Date : 01/20/2017

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Directions to “ LEAH SOTELO ” Practice Location

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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.

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