Provider Demographics
NPI:1508492760
Name:SOLMAZ, GUNASH (RN)
Entity Type:Individual
Prefix:
First Name:GUNASH
Middle Name:
Last Name:SOLMAZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 SPACE PARK WAY SPC 292
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-1413
Mailing Address - Country:US
Mailing Address - Phone:650-208-0202
Mailing Address - Fax:
Practice Address - Street 1:1075 SPACE PARK WAY SPC 292
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-1413
Practice Address - Country:US
Practice Address - Phone:650-208-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95199683163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse