Healthcare Provider Details

I. General information

NPI: 1871438101
Provider Name (Legal Business Name): CYNTHIA SOLIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 S RAMPART BLVD
LOS ANGELES CA
90057-1404
US

IV. Provider business mailing address

238 S RAMPART BLVD
LOS ANGELES CA
90057-1404
US

V. Phone/Fax

Practice location:
  • Phone: 626-463-1021
  • Fax:
Mailing address:
  • Phone: 626-463-1021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: