| Solano Family Physicians Medical Group Prof Corp | |
|
1100 Rose Dr Suite 140 Benicia CA 94510-3623 | |
| (707) 745-2705 | |
| (707) 745-1902 |
| Full Name | Solano Family Physicians Medical Group Prof Corp |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1100 Rose Dr, Benicia, California |
| Authorized Official Name and Position | Kenneth R. Brooks (PRESIDENT/CEO) |
| Authorized Official Contact | 7077452705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solano Family Physicians Medical Group Prof Corp 1100 Rose Dr Suite 140 Benicia CA 94510-3623 Ph: (707) 745-2705 | Solano Family Physicians Medical Group Prof Corp 1100 Rose Dr Suite 140 Benicia CA 94510-3623 Ph: (707) 745-2705 |
| NPI Number | 1568777126 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568777126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 00A0627550 (California) | Primary |
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