Healthcare Provider Details

I. General information

NPI: 1982530002
Provider Name (Legal Business Name): TELSOL LICENSED CLINICAL SOCIAL WORKER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2785 PACIFIC COAST HWY STE. E #306
TORRANCE CA
90505
US

IV. Provider business mailing address

2785 PACIFIC COAST HWY STE. E #306
TORRANCE CA
90505
US

V. Phone/Fax

Practice location:
  • Phone: 310-339-3931
  • Fax:
Mailing address:
  • Phone: 310-339-3931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA SOLORIO TELLO
Title or Position: SOCIAL WORKER
Credential: LCSW
Phone: 310-339-3931