Provider Demographics
NPI:1205619335
Name:SOLTERO, ARMANDO MANUEL
Entity type:Individual
Prefix:
First Name:ARMANDO
Middle Name:MANUEL
Last Name:SOLTERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 N SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-3629
Mailing Address - Country:US
Mailing Address - Phone:805-598-2141
Mailing Address - Fax:
Practice Address - Street 1:2050 S BLOSSER RD
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-7310
Practice Address - Country:US
Practice Address - Phone:805-346-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant