Provider Demographics
NPI:1447868971
Name:SOLIS-ESPINOZA, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SOLIS-ESPINOZA
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 1:1298 MORGAN HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-1447
Mailing Address - Country:US
Mailing Address - Phone:619-942-8528
Mailing Address - Fax:
Practice Address - Street 1:1298 MORGAN HILL DR
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-1447
Practice Address - Country:US
Practice Address - Phone:619-942-8528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA118834101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health