Individual
DR. HERNANI Q SOBERANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-2512
(909) 580-1438
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-2512
(909) 580-1438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A48955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A489550
—
CA
Enumeration date
07/09/2006
Last updated
02/17/2012
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