Provider Demographics
NPI:1982840070
Name:GARCIA SOTO, JOSE F (M SC ORIENTAL MEDIC)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:F
Last Name:GARCIA SOTO
Suffix:
Gender:M
Credentials:M SC ORIENTAL MEDIC
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Mailing Address - Street 1:12598 CENTRAL AVE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3502
Mailing Address - Country:US
Mailing Address - Phone:909-464-8586
Mailing Address - Fax:626-646-1927
Practice Address - Street 1:12598 CENTRAL AVE
Practice Address - Street 2:SUITE 217
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3502
Practice Address - Country:US
Practice Address - Phone:909-464-8586
Practice Address - Fax:626-646-1927
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2009-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAC12600171100000X
CAAC12628171100000X
CAAC 6970171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist