Healthcare Provider Details

I. General information

NPI: 1992616981
Provider Name (Legal Business Name): GUADALUPE BEATRIZ SOLIS M.S., CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 S INDIAN HILL BLVD
CLAREMONT CA
91711-5461
US

IV. Provider business mailing address

630 S INDIAN HILL BLVD
CLAREMONT CA
91711-5461
US

V. Phone/Fax

Practice location:
  • Phone: 909-593-1211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number40311
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: