Look up the most recent NPI and PECOS records

Walter Mauricio Solorzano

Internal Medicine

Allopathic & Osteopathic Physicians

1245 16th St Ste 125, Santa Monica, CA 90404-1240

PECOS Enrollment

This provider is enrolled in PECOS as WALTER SOLORZANO.

Based on the most recent information from CMS, provider Walter Mauricio Solorzano is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1124606785
Provider Type
Individual
Full Name
Solorzano, Walter Mauricio
Gender
Male

Sole Proprietor
No
Enumeration Date
4/1/2021
Last Updated
11/1/2024

Contact Information

Practice Location

1245 16th St Ste 125, Santa Monica, CA 90404-1240

(310) 315-8900

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

(310) 301-8707

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A192765 California

Walter Mauricio Solorzano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Khan, Uzma A

Yu, Lawrence

Ma, Janet M

Ramirez, Brenda

Gryguc-Saxanoff, Agnieszka

Talamantes, Efrain

Westside Primary Care, Inc.

Boctor, Noelle

Carias, Edson Enrique

Lewis Hunter, Ashley Elizabeth