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NPI Code Detail

MEDICARE: MICHELLE ANNELYNN SOLEDAD PA-C

MEDICARE: MICHELLE ANNELYNN SOLEDAD PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1477368678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE ANNELYNN SOLEDAD PA-C
Provider Business Mailing Address
First Line : 1998 MARKET ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-6228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1998 MARKET ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-6228
Country : US
Telephone Number : 415-651-3558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2025
Last Update Date : 05/22/2026

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Directions to “ MICHELLE ANNELYNN SOLEDAD PA-C” Practice Location

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