Healthcare Provider Details

I. General information

NPI: 1679027445
Provider Name (Legal Business Name): KAREN SOTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2016
Last Update Date: 04/25/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 SALVIO ST STE 301
CONCORD CA
94520-6304
US

IV. Provider business mailing address

2151 SALVIO ST STE 301
CONCORD CA
94520-6304
US

V. Phone/Fax

Practice location:
  • Phone: 925-849-3117
  • Fax: 925-887-0841
Mailing address:
  • Phone: 925-849-3117
  • Fax: 925-685-0377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: