Provider Demographics
NPI:1629599790
Name:SOLARES, JOSEPHINE GALAN
Entity Type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:GALAN
Last Name:SOLARES
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 1:10005 E. FLOWER STREET
Mailing Address - Street 2:BELLFLOWER HEALTH CENTER
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706
Mailing Address - Country:US
Mailing Address - Phone:562-526-3000
Mailing Address - Fax:562-526-3097
Practice Address - Street 1:10005 FLOWER ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5412
Practice Address - Country:US
Practice Address - Phone:562-526-3000
Practice Address - Fax:562-526-3097
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA694421163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse