| NPI Details | |
|---|---|
| NPI | 1154306231 |
| Enumeration Date | 12/12/2005 |
| Last Updated | 02/04/2011 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | TOD JEFFREY TOD |
| Position | PRESIDENT |
| Phone | (619) 424-8143 |
| Fax | (619) 424-8652 |
| Practice Location | |
|---|---|
| 720 HWY 75 IMPERIAL BEACH CA, 91932-1313, US |
|
| Phone | (619) 424-8143 |
| Fax | (619) 424-8652 |
| Business Location | |
|---|---|
| 720 HWY 75 IMPERIAL BEACH CA, 91932-1313, US |
|
| Phone | (619) 424-8143 |
| Fax | (619) 424-8652 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 333600000X |
| License State | California |
| License Number | PHY46235 |
| Remove 1154306231 NPI Number | |
According to our database, Solara Medical Supplies Inc NPI is 1154306231, taxonomy code is 333600000X and license number is PHY46235, license state is located at California. Solara Medical Supplies Inc physically located at 720 Hwy 75, Imperial Beach CA, 91932-1313. NPI Number 1033115704 has the healthcare provider type.
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1154306231 NPI number is provided on an as is basis without warranty of any kind. 1154306231 is maintained by the National Plan & Provider Enumeration System. The contents of Solara Medical Supplies Inc are for informational purposes only.
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