Provider Demographics
NPI:1437566536
Name:SOTOWA, LAURA KUMI (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:KUMI
Last Name:SOTOWA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 MICHILLINDA AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-6342
Mailing Address - Country:US
Mailing Address - Phone:626-821-7000
Mailing Address - Fax:
Practice Address - Street 1:1136 SOTO PL
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5276
Practice Address - Country:US
Practice Address - Phone:626-622-6016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist