Healthcare Provider Details

I. General information

NPI: 1780207803
Provider Name (Legal Business Name): JULIA SOLIS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2020
Last Update Date: 06/27/2025
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 S ORANGE AVE
FRESNO CA
93702-3463
US

IV. Provider business mailing address

1350 S ORANGE AVE
FRESNO CA
93702-3463
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-5400
  • Fax: 559-457-5490
Mailing address:
  • Phone: 559-457-5400
  • Fax: 559-457-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number58122
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: