Basic Information
| Provider Information | |||||||||
| NPI: | 1023556552 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SORIA | ||||||||
| FirstName: | ADRIANNA | ||||||||
| MiddleName: | ALEXIS | ||||||||
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| Credential: | ASW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1964 | ||||||||
| Address2: | |||||||||
| City: | CHINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917081964 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 14181 TELEGRAPH RD | ||||||||
| Address2: | |||||||||
| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906042554 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5622730722 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2017 | ||||||||
| LastUpdateDate: | 08/31/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 71838 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 104100000X | 100580 | CA | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.