MEDICARE: MS. MARISA SOLORZA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	749763	CA

General Provider Information

NPI Number	:	1295298784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARISA SOLORZA

Provider Business Mailing Address
First Line	:	32214 ALLISON DR
Second Line	:
City	:	UNION CITY
State	:	CA
Zip	:	94587-3914
Country	:	US
Telephone Number	:	510-314-6050
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 SOQUEL AVE
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-1402
Country	:	US
Telephone Number	:	831-600-2801
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	06/01/2026

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