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General NPI Number Information
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NPI Number | 1588986475
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Entity Type | Individual
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Provider Name | REYNA J SOTELO NA
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Gender | Female
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 605 W OLYMPIC BLVD STE 600
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City | LOS ANGELES
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State | CA
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Zip | 90015-1475
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Country | US
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Telephone | 213-236-9388
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Fax | 213-489-7993
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Provider Business Mailing Address
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Address Line | 9808 VENICE BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232-2732
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Country | US
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Telephone |
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Fax | 310-945-3350
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CA
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