Provider Demographics
NPI:1346459872
Name:CECILIA SORIANO-CASACLANG, M.D INC.
Entity Type:Organization
Organization Name:CECILIA SORIANO-CASACLANG, M.D INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RENATO
Authorized Official - Middle Name:D
Authorized Official - Last Name:CASACLANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-364-0602
Mailing Address - Street 1:3626 GRAND AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1478
Mailing Address - Country:US
Mailing Address - Phone:909-364-0602
Mailing Address - Fax:
Practice Address - Street 1:3626 GRAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-1478
Practice Address - Country:US
Practice Address - Phone:909-364-0602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46035208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty