Provider Demographics
NPI:1568695856
Name:SOLIS, KATHERINE (RD, MA, CDE)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:SOLIS
Suffix:
Gender:F
Credentials:RD, MA, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 W EL CAMINO REAL
Mailing Address - Street 2:FL 2
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-6203
Mailing Address - Country:US
Mailing Address - Phone:415-600-0110
Mailing Address - Fax:415-558-7038
Practice Address - Street 1:3801 SACRAMENTO ST FL 7
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1625
Practice Address - Country:US
Practice Address - Phone:415-600-2651
Practice Address - Fax:415-600-6279
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
722664133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered