Healthcare Provider Details

I. General information

NPI: 1467542126
Provider Name (Legal Business Name): SOLANO ORTHOPAEDIC SPINE AND JOINT, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 02/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 ADAMS STREET SUITE G
BENICIA CA
94510-2953
US

IV. Provider business mailing address

1090 ADAMS STREET SUITE G
BENICIA CA
94510-2953
US

V. Phone/Fax

Practice location:
  • Phone: 707-748-3100
  • Fax: 707-745-3100
Mailing address:
  • Phone: 707-748-3100
  • Fax: 707-745-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberG31423
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberG31423
License Number StateCA

VIII. Authorized Official

Name: DR. DAVID C.M. SCHIFF
Title or Position: WNER
Credential: M.D.
Phone: 707-748-3100