Individual
MR. CRISTOBAL RUBEN SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
995 GATEWAY CENTER WAY, SUITE 105, SAN DIEGO, CA 92102-4500
(619) 264-1934
(619) 264-1937
Mailing address
PO BOX 433968, SAN YSIDRO, CA 92143-3968
(619) 409-6900
(619) 409-6901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19031
CA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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