SOLANO FAMILY PHYSICIANS MEDICAL GROUP PROF CORP NPI 1568777126

NPI Information

NPI: 1568777126
Provider Name: SOLANO FAMILY PHYSICIANS MEDICAL GROUP PROF CORP
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1100 ROSE DR
SUITE 140
BENICIA, CA
ZIP 94510
Phone: (707) 745-2705
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SOLANO FAMILY PHYSICIANS MEDICAL GROUP PROF CORP is a primary care clinic center in Benicia, CA. SOLANO FAMILY PHYSICIANS MEDICAL GROUP PROF CORP NPI is 1568777126. The provider is registered as an organization entity type.

The provider's business location address is:

1100 ROSE DR
SUITE 140
BENICIA, CA
ZIP 94510-623
Phone: (707) 745-2705
Fax: (707) 745-1902

The provider's authorized official is Kenneth R. Brooks .
The authorized official title is President/ceo and has the following contact phone number (707) 745-2705.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 12/29/2011.

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
1	261QP2300X	Clinic/Center	Primary Care	00A0627550	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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