Healthcare Provider Details

I. General information

NPI: 1467361774
Provider Name (Legal Business Name): MAURA ESTELA SOLANO MSW, ACSW, PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 PICO BLVD
SANTA MONICA CA
90405-6302
US

IV. Provider business mailing address

3717 MAXSON RD
EL MONTE CA
91732-2814
US

V. Phone/Fax

Practice location:
  • Phone: 310-395-3204
  • Fax:
Mailing address:
  • Phone: 626-216-5773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number132670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: