MEDICARE: DR. JAMES KENT SOLIS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	VC25624	CA

General Provider Information

NPI Number	:	1407935562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES KENT SOLIS DC

Provider Business Mailing Address
First Line	:	5922 WARNER AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649
Country	:	US
Telephone Number	:	714-840-1744
Fax Number	:	714-377-2256

Provider Business Practice Location Address
First Line	:	5922 WARNER AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649
Country	:	US
Telephone Number	:	714-840-1744
Fax Number	:	714-377-2256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

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