Provider Demographics
NPI:1992956155
Name:CYNTHIA J. SOTO, MD, INC
Entity type:Organization
Organization Name:CYNTHIA J. SOTO, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-475-5200
Mailing Address - Street 1:399 E HIGHLAND AVE STE 223
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-3864
Mailing Address - Country:US
Mailing Address - Phone:909-475-5200
Mailing Address - Fax:909-475-5255
Practice Address - Street 1:399 E HIGHLAND AVE STE 223
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3864
Practice Address - Country:US
Practice Address - Phone:909-475-5200
Practice Address - Fax:909-475-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1012392084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty