Individual
ERNEST RICHARD SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 HUGHES WAY STE 150, LONG BEACH, CA 90810-1878
(310) 221-6336
(310) 221-6350
Mailing address
13527 PHILADELPHIA ST APT A, WHITTIER, CA 90601-4485
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 37419
CA
Other
Enumeration date
06/24/2014
Last updated
07/15/2020
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