Organization
PEDIATRIC HEALTH PARTNERS,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERLA JAMIAS SOLORIA MD (PHYSICIAN)
(757) 966-9873
Entity
Organization
Contact information
Practice address
3701 SOUTH ST, PORTSMOUTH, VA 23707-3121
(757) 966-9873
(757) 967-9547
Mailing address
3701 SOUTH ST, PORTSMOUTH, VA 23707
(757) 966-9873
(757) 967-9547
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101035962 & 0101046
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010057361 & 01005733
—
VA
01
—
137078 & 137133
ANTHEM
VA
01
—
2127819
MAMSI
VA
01
—
2461504 & 2696905
CIGNA
VA
01
—
2696905
CIGNA
VA
01
—
3652536 & 3652579
AETNA
VA
01
—
5514567 & 5514570
FIRST HEALTH
VA
01
—
75160
OPTIMA HEALTH
VA
Enumeration date
01/18/2007
Last updated
08/22/2020
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