Individual
IAN L. SOLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11795 EDUCATION ST STE 201, AUBURN, CA 95602-2469
(530) 889-7470
(530) 889-7471
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(866) 681-0736
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A126399
CA
207Q00000X
Family Medicine Physician
0101248329
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A126399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578722302
—
VA
05
—
A126399
—
CA
Enumeration date
06/06/2008
Last updated
09/13/2021
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