Provider Demographics
NPI:1922750306
Name:CATHERINE SORIANO OD, INC
Entity Type:Organization
Organization Name:CATHERINE SORIANO OD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:F
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:619-291-3836
Mailing Address - Street 1:2404 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-2920
Mailing Address - Country:US
Mailing Address - Phone:619-291-3836
Mailing Address - Fax:
Practice Address - Street 1:2404 MADISON AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-2920
Practice Address - Country:US
Practice Address - Phone:619-291-3836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center