Provider Demographics
NPI:1851505143
Name:SOTELO, TRAM TRAN (DC, LAC, MAOM)
Entity Type:Individual
Prefix:DR
First Name:TRAM
Middle Name:TRAN
Last Name:SOTELO
Suffix:
Gender:F
Credentials:DC, LAC, MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7194
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93006-7194
Mailing Address - Country:US
Mailing Address - Phone:805-643-7899
Mailing Address - Fax:
Practice Address - Street 1:200 S A ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-5717
Practice Address - Country:US
Practice Address - Phone:805-240-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30533111N00000X
CAAC12448171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist