Healthcare Provider Details

I. General information

NPI: 1477405066
Provider Name (Legal Business Name): ADRIAN SOLTERO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 E CHANNEL ISLANDS BLVD STE 2
OXNARD CA
93033-5617
US

IV. Provider business mailing address

4241 SAN JUAN AVE
OXNARD CA
93033-7213
US

V. Phone/Fax

Practice location:
  • Phone: 805-240-3373
  • Fax:
Mailing address:
  • Phone: 805-415-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number54698
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: