Provider Demographics
NPI:1487080693
Name:SOTELO, PEDRO UVIAS JR
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:UVIAS
Last Name:SOTELO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W FOSTER RD
Mailing Address - Street 2:CHILDRENS MENTAL HEALTH CLINIC
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3620
Mailing Address - Country:US
Mailing Address - Phone:805-331-2243
Mailing Address - Fax:805-934-6525
Practice Address - Street 1:500 W FOSTER RD
Practice Address - Street 2:CHILDRENS MENTAL HEALTH CLINIC
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-3620
Practice Address - Country:US
Practice Address - Phone:805-331-2243
Practice Address - Fax:805-934-6525
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health