MEDICARE: SOLACE HEALTH MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	207Q00000X	Family Medicine Physician
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
4	1041C0700X	Clinical Social Worker
5	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1801669924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLACE HEALTH MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	401 WARREN ST STE 300
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-1536
Country	:	US
Telephone Number	:	240-693-3281
Fax Number	:	207-881-4056

Provider Business Practice Location Address
First Line	:	401 WARREN ST STE 300
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-1536
Country	:	US
Telephone Number	:	708-320-1477
Fax Number	:	207-881-4056

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEREMY GUREWITZ
Credential	:
Telephone Number	:	240-693-3281

Provider Enumeration Date	:	10/31/2023
Last Update Date	:	12/09/2025

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Directions to “SOLACE HEALTH MEDICAL GROUP INC ” Practice Location

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