Provider Demographics
NPI:1144846080
Name:SORIANO, PALOMA BEOPE (RN, MSN, PHN, RCSN)
Entity type:Individual
Prefix:
First Name:PALOMA
Middle Name:BEOPE
Last Name:SORIANO
Suffix:
Gender:F
Credentials:RN, MSN, PHN, RCSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 RUSHVILLE ST
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5438
Mailing Address - Country:US
Mailing Address - Phone:408-768-5800
Mailing Address - Fax:
Practice Address - Street 1:4302 VALETA ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92107-1510
Practice Address - Country:US
Practice Address - Phone:408-768-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA810751163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health