Provider Demographics
NPI:1740473842
Name:RL SORIANO AND ASSOCIATES, INC
Entity type:Organization
Organization Name:RL SORIANO AND ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:L
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-368-7123
Mailing Address - Street 1:17201 CELTIC ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-4833
Mailing Address - Country:US
Mailing Address - Phone:818-368-7123
Mailing Address - Fax:
Practice Address - Street 1:17201 CELTIC ST
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-4833
Practice Address - Country:US
Practice Address - Phone:818-368-7123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA522009251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion