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NPI Code Detail

MEDICARE: MR. DANIEL ANTONIO SOTO ACSW, MPA

MEDICARE: MR. DANIEL ANTONIO SOTO ACSW, MPA
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
11041C0700XClinical Social Worker28144CA
21041C0700XClinical Social Worker80280CA

General Provider Information

NPI Number : 1366758682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL ANTONIO SOTO ACSW, MPA
Provider Business Mailing Address
First Line : 10155 COLIMA RD
Second Line :
City : WHITTIER
State : CA
Zip : 90603-2042
Country : US
Telephone Number : 562-692-0383
Fax Number :
Provider Business Practice Location Address
First Line : 1801 S POPLAR ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-4321
Country : US
Telephone Number : 657-303-4052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2010
Last Update Date : 09/18/2023

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