Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Isabel Benavides Sole

Individual provider Psychologist · NPI 1225761042

Marisa Isabel Benavides Sole is a Psychologist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

3782 W Martin Luther King Jr Blvd Ste 330
Los Angeles, CA 90008-1703
Phone: (800) 954-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY35445 (CA)

Record details

NPI number1225761042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2022
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

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