Individual
DR. JOSE ALFREDO PINEDA SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-1002
(310) 825-0867
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
2005003648
MO
208000000X
Pediatrics Physician
2005003648
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2005003648
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326065954
—
CA
05
—
208795906
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/17/2006
Last updated
03/09/2022
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