Organization
PROSPERO VASCULAR AND INTERVENTIONAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RODOLFO SOTO MD (OWNER)
(510) 975-0347
Entity
Organization
Contact information
Practice address
22268 FOOTHILL BLVD STE 3, HAYWARD, CA 94541-2723
(818) 848-8891
Mailing address
PO BOX 21109, CASTRO VALLEY, CA 94546-9109
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
05/10/2024
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