| Solace Health Medical Group Inc | |
|
311 Fuller St Redwood City CA 94063-1514 | |
| (240) 693-3281 | |
| Not Available |
| Full Name | Solace Health Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 311 Fuller St, Redwood City, California |
| Authorized Official Name and Position | Jeremy Gurewitz (PRESIDENT) |
| Authorized Official Contact | 2406933281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solace Health Medical Group Inc 311 Fuller St Redwood City CA 94063-1514 Ph: (240) 693-3281 | Solace Health Medical Group Inc 311 Fuller St Redwood City CA 94063-1514 Ph: (240) 693-3281 |
| NPI Number | 1801669924 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 9830540624 |
|---|---|
| Medicare Enrollment ID | O20240105001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801669924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Meredith A Goodwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457385924 PECOS PAC ID: 5294891321 Enrollment ID: I20090225000506 |
| Provider Name | Avni Bansi Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20201028002701 |
| Provider Name | Inna Yaskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316965353 PECOS PAC ID: 7810940707 Enrollment ID: I20231013002066 |
| Provider Name | Amisha S. Chhipwadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114037264 PECOS PAC ID: 5395731699 Enrollment ID: I20240312000612 |
| Provider Name | Rebecca Simons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285767459 PECOS PAC ID: 3476539271 Enrollment ID: I20240514004384 |
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