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NPI Code Detail

MEDICARE: GENESIS SOLORIO

MEDICARE: GENESIS SOLORIO
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
1106H00000XMarriage & Family Therapist162732CA

General Provider Information

NPI Number : 1760289359
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENESIS SOLORIO
Provider Business Mailing Address
First Line : 6160 MISSION GORGE RD STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92120-3425
Country : US
Telephone Number : 619-481-3790
Fax Number :
Provider Business Practice Location Address
First Line : 6160 MISSION GORGE RD STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92120-3425
Country : US
Telephone Number : 619-481-3790
Fax Number : 619-481-3797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2025
Last Update Date : 05/23/2026

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1588516561 — JAIRO OSCAR HERNANDEZ CAMACHO
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1417885328 — MATTHEW MINIHAN
Practice Location Address:
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1578798278 — MR. MITCHELL BRADY CLARK M.S.
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Directions to “ GENESIS SOLORIO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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