Provider Demographics
NPI:1376760371
Name:SOLER, JULIA-MARIA (MFTI)
Entity Type:Individual
Prefix:MRS
First Name:JULIA-MARIA
Middle Name:
Last Name:SOLER
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10731 CHAMPAGNE RD
Mailing Address - Street 2:
Mailing Address - City:ALTA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-6910
Mailing Address - Country:US
Mailing Address - Phone:909-944-5850
Mailing Address - Fax:
Practice Address - Street 1:14600 RAMONA BLVD
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-3363
Practice Address - Country:US
Practice Address - Phone:626-337-8811
Practice Address - Fax:626-856-5653
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF56626101YM0800X
CAIMF79957101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00007302Medicaid
CA00007300Medicaid
CACBSC355OtherLA DMH PROVIDER
CA00007301Medicaid
CA00007473Medicaid