Healthcare Provider Details

I. General information

NPI: 1073124848
Provider Name (Legal Business Name): SOLIN SALEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2020
Last Update Date: 08/13/2020
Certification Date: 08/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2452 WATSON CT
PALO ALTO CA
94303-3216
US

IV. Provider business mailing address

488 WINSLOW ST APT 506
REDWOOD CITY CA
94063-1878
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-6995
  • Fax:
Mailing address:
  • Phone: 306-717-9515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number169797
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: