Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | A97825 | CA |
NPI | 1306054150 |
---|---|
Provider Name | Dr. Neil Raaj Soni |
First Address | Fountain Valley, CA 92708-5153 |
Second Address | Fountain Valley, CA 92708-5153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 01/11/2012 |