Provider Demographics
NPI:1477038677
Name:SOLTERO, OSCAR (NCSC)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:
Last Name:SOLTERO
Suffix:
Gender:M
Credentials:NCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 S OAK KNOLL AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3809
Mailing Address - Country:US
Mailing Address - Phone:818-430-1894
Mailing Address - Fax:
Practice Address - Street 1:717 S OAK KNOLL AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3809
Practice Address - Country:US
Practice Address - Phone:818-430-1894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130181712101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA130181712OtherCALIFORNIA COMMISSION OF CREDENTIALS