Basic Information
| Provider Information | |||||||||
| NPI: | 1508347212 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SOLANO DIAGNOSTICS PARTNERS, A CALIF LIMITED PARTNERSHIP | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPT 34591 | ||||||||
| Address2: | P.O. BOX 39000 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94139 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 631 TRUE WIND WAY UNIT 208 | ||||||||
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| City: | REDWOOD CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940635735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594554026 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2018 | ||||||||
| LastUpdateDate: | 08/22/2018 | ||||||||
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| AuthorizedOfficialLastName: | CAMERON | ||||||||
| AuthorizedOfficialFirstName: | ELNORA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5594554026 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.