Healthcare Provider Details

I. General information

NPI: 1073122081
Provider Name (Legal Business Name): BINA SOLANKY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2020
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 WASHINGTON ST
SAN DIEGO CA
92103-2289
US

IV. Provider business mailing address

2280 AVENIDA MAGNIFICA APT I
CARLSBAD CA
92008-6875
US

V. Phone/Fax

Practice location:
  • Phone: 619-260-8300
  • Fax:
Mailing address:
  • Phone: 602-334-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95019056
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number782332
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: