Individual
DR. GRACIELA J. SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(626) 457-5839
Mailing address
PO BOX 31218, LOS ANGELES, CA 90031-0218
(626) 457-5839
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A91954
CA
207RP1001X
Pulmonary Disease Physician
Primary
A91954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A919540
BLUE SHIELD
CA
05
—
00A919540
—
CA
01
—
00A919540197
CAL OPTIMA
CA
01
—
1356390009
GROUP NPI
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GR0016910
GROUP MEDICAID PIN
CA
01
—
W11675
GROUP MEDICARE PIN
CA
Enumeration date
06/29/2006
Last updated
04/14/2008
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