Provider Demographics
NPI:1609600170
Name:SOTO, LUCIA ALEJANDRA
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:ALEJANDRA
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 1:9025 WARREN VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-4467
Mailing Address - Country:US
Mailing Address - Phone:951-539-8236
Mailing Address - Fax:
Practice Address - Street 1:255 NORTH CIELO ROAD STE
Practice Address - Street 2:C300
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:760-674-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker