| Angelica Soto, WHCNP | |
|
1403 Lomita Blvd Ste 100, Harbor City, CA 90710-2084 | |
| (310) 784-5800 | |
| Not Available |
| Full Name | Angelica Soto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 1403 Lomita Blvd Ste 100, Harbor City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285138149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 201801693NP-PP (Oregon) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 95008982 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelica Soto, WHCNP 2550 W Main St Ste 301, Alhambra, CA 91801-7003 Ph: (626) 457-6900 | Angelica Soto, WHCNP 1403 Lomita Blvd Ste 100, Harbor City, CA 90710-2084 Ph: (310) 784-5800 |
Angelita Domingo Bueno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd, Harbor City, CA 90710 Phone: 310-784-5800 Fax: 310-530-9811 | |
Rosemary Fleming, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Christina Cortez Van Guyse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Rose S Hurowitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Renee D Wright, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Michelle Neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Janice M Boyk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |