Provider Demographics
NPI:1073380408
Name:SOLIS OROZCO, YULET VALENTINA
Entity Type:Individual
Prefix:
First Name:YULET
Middle Name:VALENTINA
Last Name:SOLIS OROZCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 MCDONALD AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:90744-5367
Mailing Address - Country:US
Mailing Address - Phone:424-221-1483
Mailing Address - Fax:
Practice Address - Street 1:25124 NARBONNE AVE STE 102
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-2140
Practice Address - Country:US
Practice Address - Phone:888-286-8715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician