Search › California › 1041C0700X
Marissa Soares
NPI 1518689132 · on the registry since 2022
Practice
- Address
- 4601 S Broadway
Los Angeles, CA 90037 - Phone
- (323) 234-4445
- Clinicians at this address
- 40
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
101YM0800X
1041C0700X
171M00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California