Organization
CECILIA N SORIANO-CASACLANG, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENATO DICCION CASACLANG (CORPORATE TREASURER)
(909) 792-4417
Entity
Organization
Contact information
Practice address
4950 SAN BERNARDINO ST STE 105, MONTCLAIR, CA 91763-2328
(909) 625-4762
(909) 625-4763
Mailing address
1701 TORINO ST, REDLANDS, CA 92374-4752
(909) 792-4417
(909) 792-4417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A46035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A460350
—
CA
Enumeration date
02/16/2011
Last updated
08/08/2014
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