Healthcare Provider Details

I. General information

NPI: 1245120930
Provider Name (Legal Business Name): MARILYN SOLOGUREN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8313 MICHIGAN AVE
WHITTIER CA
90605-1026
US

IV. Provider business mailing address

8313 MICHIGAN AVE
WHITTIER CA
90605-1026
US

V. Phone/Fax

Practice location:
  • Phone: 702-622-7415
  • Fax:
Mailing address:
  • Phone: 702-622-7415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number833058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: