Provider Demographics
NPI:1477338770
Name:SORIA, RAMON FELIPE (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:FELIPE
Last Name:SORIA
Suffix:
Gender:M
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 SAN BERNARDINO AVE STE A2
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-3559
Mailing Address - Country:US
Mailing Address - Phone:909-301-4041
Mailing Address - Fax:909-301-4042
Practice Address - Street 1:1532 SAN BERNARDINO AVE STE A2
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3559
Practice Address - Country:US
Practice Address - Phone:909-301-4041
Practice Address - Fax:909-301-4042
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2024-09-10
Deactivation Date:2024-05-28
Deactivation Code:
Reactivation Date:2024-06-20
Provider Licenses
StateLicense IDTaxonomies
CA95026559363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care