Victoria Soekamto, NURSE PRACTITIONER | |
9573 Garvey Ave., Suite #17, S. El Monte, CA 91733-4606 | |
(626) 454-1801 | |
(626) 454-2203 |
Full Name | Victoria Soekamto |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 9573 Garvey Ave., S. El Monte, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679860654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | NP20011 (California) | Secondary |
208000000X | Pediatrics | NP20011 (California) | Secondary |
363L00000X | Nurse Practitioner | NP20011 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Victoria Soekamto, NURSE PRACTITIONER 9573 Garvey Ave, Suite #17, S. El Monte, CA 91733-4606 Ph: (626) 454-1801 | Victoria Soekamto, NURSE PRACTITIONER 9573 Garvey Ave., Suite #17, S. El Monte, CA 91733-4606 Ph: (626) 454-1801 |