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General NPI Number Information
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NPI Number | 1225645351
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Entity Type | Individual
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Provider Name | EDGARDO J SOLORZANO
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Gender | Male
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1503 GRANT RD STE 110
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-3270
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Country | US
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Telephone | 650-484-1213
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Fax | 408-642-6052
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Provider Business Mailing Address
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Address Line | 1922 THE ALAMEDA STE 316
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City | SAN JOSE
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State | CA
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Zip | 95126-1461
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Country | US
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Telephone | 408-261-7777
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Fax | 408-642-6052
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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