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NPI Code Detail

MEDICARE: YADIRA DELSOCORRO SOTO

MEDICARE: YADIRA DELSOCORRO SOTO
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
1171M00000XCase Manager/Care Coordinator
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1487847083
Entity Type Code : Individual
Provider Name (Legal Business Name) : YADIRA DELSOCORRO SOTO
Provider Business Mailing Address
First Line : 10424 RENOA AVE
Second Line :
City : SOUTH GATE
State : CA
Zip : 90280-7207
Country : US
Telephone Number : 323-383-7667
Fax Number :
Provider Business Practice Location Address
First Line : 2594 INDUSTRY WAY
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-4015
Country : US
Telephone Number : 310-667-4070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2007
Last Update Date : 05/09/2025

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Directions to “ YADIRA DELSOCORRO SOTO ” Practice Location

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