Provider Demographics
NPI:1780327460
Name:SOTO, MERLIN SUGEY
Entity type:Individual
Prefix:
First Name:MERLIN
Middle Name:SUGEY
Last Name:SOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 S EASTERN AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-4019
Mailing Address - Country:US
Mailing Address - Phone:323-888-9496
Mailing Address - Fax:323-201-3537
Practice Address - Street 1:5800 S EASTERN AVE STE 270
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-4019
Practice Address - Country:US
Practice Address - Phone:323-888-9496
Practice Address - Fax:323-201-3537
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner