Healthcare Provider Details

I. General information

NPI: 1962852913
Provider Name (Legal Business Name): FRANCISCO JAVIER SOLIS LOPEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8110 POCKET RD STE 102
SACRAMENTO CA
95831-5829
US

IV. Provider business mailing address

4600 SILVIES WAY
ELK GROVE CA
95758-4041
US

V. Phone/Fax

Practice location:
  • Phone: 916-245-0715
  • Fax:
Mailing address:
  • Phone: 760-989-7759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number145455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: