MEDICARE: RL SORIANO AND ASSOCIATES, INC

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
1	163WI0500X	Infusion Therapy Registered Nurse

General Provider Information

NPI Number	:	1346226768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RL SORIANO AND ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	17201 CELTIC ST
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-4833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17201 CELTIC ST
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-4833
Country	:	US
Telephone Number	:	818-687-8348
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROGELIO SORIANO
Credential	:
Telephone Number	:	818-687-8348

Provider Enumeration Date	:	12/17/2005
Last Update Date	:	08/22/2020

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