Healthcare Provider Details

I. General information

NPI: 1427414903
Provider Name (Legal Business Name): SOLANO DIAGNOSTICS PARTNERS, A CALIF LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2016
Last Update Date: 01/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 BUSINESS CENTER DR
FAIRFIELD CA
94534-6888
US

IV. Provider business mailing address

3 ARISTA CT
DIX HILLS NY
11746-4908
US

V. Phone/Fax

Practice location:
  • Phone: 707-646-4777
  • Fax: 707-399-2648
Mailing address:
  • Phone: 559-455-4065
  • Fax: 916-533-0023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ELNORA CAMERON
Title or Position: PRESIDENT
Credential:
Phone: 707-646-3288