Basic Information
Provider Information
NPI: 1407836687
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOLER
FirstName: CARLA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 332 S JUNIPER ST STE 100
Address2:  
City: ESCONDIDO
State: CA
PostalCode: 920254941
CountryCode: US
TelephoneNumber: 7602916621
FaxNumber: 7607373430
Practice Location
Address1: 31537 RANCHO PUEBLO RD STE 102
Address2:  
City: TEMECULA
State: CA
PostalCode: 925924841
CountryCode: US
TelephoneNumber: 8662282236
FaxNumber: 9512949039
Other Information
ProviderEnumerationDate: 01/22/2006
LastUpdateDate: 09/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XQ5723TXN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XA83205CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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