Individual
CANDICE E RENTERIA-SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN598612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
598612
RN
CA
Enumeration date
10/05/2006
Last updated
02/16/2013
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