| Victoria Soekamto, NURSE PRACTITIONER | |
|
9573 Garvey Ave., Suite #17, S. El Monte, CA 91733-4606 | |
| (626) 454-1801 | |
| (626) 454-2203 |
| Full Name | Victoria Soekamto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 9573 Garvey Ave., S. El Monte, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679860654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | NP20011 (California) | Secondary |
| 208000000X | Pediatrics | NP20011 (California) | Secondary |
| 363L00000X | Nurse Practitioner | NP20011 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Soekamto, NURSE PRACTITIONER 9573 Garvey Ave, Suite #17, S. El Monte, CA 91733-4606 Ph: (626) 454-1801 | Victoria Soekamto, NURSE PRACTITIONER 9573 Garvey Ave., Suite #17, S. El Monte, CA 91733-4606 Ph: (626) 454-1801 |