Healthcare Provider Details

I. General information

NPI: 1821838525
Provider Name (Legal Business Name): STEVEN SOTO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S FREMONT AVE UNIT 7, BLDG A10, STE. N10100
ALHAMBRA CA
91803
US

IV. Provider business mailing address

2020 BARRANCA ST APT 508
LOS ANGELES CA
90031-1778
US

V. Phone/Fax

Practice location:
  • Phone: 714-595-7454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA68530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: