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NPI Code Detail

MEDICARE: GERARDO SOLIVEN

MEDICARE: GERARDO SOLIVEN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1952519274
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERARDO SOLIVEN
Provider Business Mailing Address
First Line : 2049 SKYLINE DR
Second Line :
City : LEMON GROVE
State : CA
Zip : 91945-4221
Country : US
Telephone Number : 619-465-7303
Fax Number :
Provider Business Practice Location Address
First Line : 2049 SKYLINE DR
Second Line :
City : LEMON GROVE
State : CA
Zip : 91945-4221
Country : US
Telephone Number : 619-465-7303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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Directions to “ GERARDO SOLIVEN ” 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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