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Provider Information for 1720508849


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Mrs. ADRIANA SOTO MONDRAGON-HILL LMFT


Other Names:  
Professional Name: 
Mrs. ADRIANA MONDRAGON-HILL LMFT

Sex: Female

NPI: 1720508849
Last Updated: 2021-01-12
Certification Date: 2021-01-08

Details

NameValue
NPI1720508849
Enumeration Date2017-06-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2833 N BRISTOL ST APT 13B
SANTA ANA, CA 92706-1039
United States

Phone: 714-681-0887 | Fax:
 
Primary Practice Address 222 FASHION LN STE 115
TUSTIN, CA 92780-3317
United States

Phone: 714-681-0887 | Fax:
 
Secondary Practice Address(es)

501 N BROOKHURST ST STE 320
ANAHEIM, CA 92801
United States

Phone: 714-490-7711 | Fax:
 

7291 TALBERT AVE
HUNTINGTON BEACH, CA 92648-1232
United States

Phone: 714-842-6600 | Fax:714-842-6600
 

4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
United States

Phone: 310-390-6612 | Fax:310-398-5690
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)1417373226Medi-Cal
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CALMFT117095