Provider Demographics
NPI:1235850116
Name:DARYA SOTO MD INC
Entity Type:Organization
Organization Name:DARYA SOTO MD INC
Other - Org Name:SLEEP CENTER OF MARIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT, MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-878-0225
Mailing Address - Street 1:100 ROWLAND WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-5041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7100 REDWOOD BLVD STE 150
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-4159
Practice Address - Country:US
Practice Address - Phone:415-878-0225
Practice Address - Fax:415-878-0215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DARYA SOTO MD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-08
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty