Provider Demographics
NPI:1902856032
Name:NOVALES, JUANITO SORIANO (MD)
Entity Type:Individual
Prefix:DR
First Name:JUANITO
Middle Name:SORIANO
Last Name:NOVALES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2717 ANZA TRL
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-4812
Mailing Address - Country:US
Mailing Address - Phone:760-864-6614
Mailing Address - Fax:760-323-6333
Practice Address - Street 1:255 N EL CIELO RD
Practice Address - Street 2:SUITE 140, PMB 172
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6974
Practice Address - Country:US
Practice Address - Phone:760-323-6430
Practice Address - Fax:760-323-6333
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA440972080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine