Provider Demographics
NPI:1346796851
Name:SOLORZANO, CLAUDIA (PSYD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:SOLORZANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 W 190TH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-4320
Mailing Address - Country:US
Mailing Address - Phone:310-851-6020
Mailing Address - Fax:310-323-6888
Practice Address - Street 1:1225 W 190TH ST
Practice Address - Street 2:STE 200
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-4320
Practice Address - Country:US
Practice Address - Phone:310-851-6020
Practice Address - Fax:310-323-6888
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSB94022489103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist