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SOLANO CENTER OF EXCELLENCE MEDICAL CORP NPI 1194103796


NPI Information

NPI: 1194103796
Provider Name: SOLANO CENTER OF EXCELLENCE MEDICAL CORP
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2126224

Address:
1760 TUOLUMNE ST
VALLEJO, CA
ZIP 94589
Phone: (707) 551-3360
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SOLANO CENTER OF EXCELLENCE MEDICAL CORP is a primary care clinic center in Vallejo, CA. SOLANO CENTER OF EXCELLENCE MEDICAL CORP NPI is 1194103796. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1760 TUOLUMNE ST
VALLEJO, CA
ZIP 94589-619
Phone: (707) 551-3360
Fax: (707) 643-3018

The provider's authorized official is Kaynita Atalig .
The authorized official title is Practice Manager and has the following contact phone number (707) 551-3319.

The CLIA number assigned to this NPI record is 05D2126224 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 8/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.