Provider Demographics
NPI:1083471361
Name:SORIANO, MARGARET (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SORIANO
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 SWAN FALLS ST
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-0505
Mailing Address - Country:US
Mailing Address - Phone:661-645-4223
Mailing Address - Fax:
Practice Address - Street 1:1817 SWAN FALLS ST
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-0505
Practice Address - Country:US
Practice Address - Phone:661-645-4223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine