MEDICARE: SOLANO DIAGNOSTICS PARTNERS A CALIF LIMITED PARTNERSHIP

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	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811940661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLANO DIAGNOSTICS PARTNERS A CALIF LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	1101 B GALE WILSON BLVD
Second Line	:	SUITE 100
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-3700
Country	:	US
Telephone Number	:	707-646-4777
Fax Number	:	707-399-2648

Provider Business Practice Location Address
First Line	:	1101 B GALE WILSON BLVD
Second Line	:	SUITE 100
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-3700
Country	:	US
Telephone Number	:	707-646-4777
Fax Number	:	707-399-2648

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. ELNORA CAMERON
Credential	:
Telephone Number	:	707-646-3288

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/09/2013

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Directions to “SOLANO DIAGNOSTICS PARTNERS A CALIF LIMITED PARTNERSHIP ” Practice Location

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