Healthcare Provider Details

I. General information

NPI: 1336482744
Provider Name (Legal Business Name): SYLVIA M SOLARES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15130 VENTURA BLVD # 251
SHERMAN OAKS CA
91403-3301
US

IV. Provider business mailing address

744 S FIGUEROA ST APT 1513
LOS ANGELES CA
90017-4832
US

V. Phone/Fax

Practice location:
  • Phone: 818-396-1944
  • Fax: 818-396-1936
Mailing address:
  • Phone: 818-590-0746
  • Fax: 818-396-1936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95031151
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: