Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack E. Soulis, CPO

Individual provider Prosthetist · NPI 1174025068

Jack E. Soulis, CPO is a Prosthetist in Duarte, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

931 Buena Vista St Ste 105
Duarte, CA 91010-1780
Phone: (626) 256-1415
Fax: (626) 256-1405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthotist (primary) Taxonomy 222Z00000X · Licence CPO03980
Prosthetist Taxonomy 224P00000X · Licence CPO03980

Record details

NPI number1174025068
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESMarch 6, 2018

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