Provider Demographics
NPI:1679452908
Name:SOTO, ELAINE (DACHMS, LAC)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:DACHMS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6051 BUSINESS CENTER CT STE 3A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-6641
Mailing Address - Country:US
Mailing Address - Phone:619-288-3189
Mailing Address - Fax:
Practice Address - Street 1:6051 BUSINESS CENTER CT STE 3A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-6641
Practice Address - Country:US
Practice Address - Phone:619-288-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20337171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty