Provider Demographics
NPI:1003618455
Name:SOLLOWAY, ALINA
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:SOLLOWAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7529 NESTLE AVE
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-3115
Mailing Address - Country:US
Mailing Address - Phone:323-350-4717
Mailing Address - Fax:
Practice Address - Street 1:17981 ARCHWOOD ST
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-5627
Practice Address - Country:US
Practice Address - Phone:747-354-2620
Practice Address - Fax:747-744-0608
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker