Provider Demographics
NPI:1710248174
Name:SOLIS ACUPUNCTURE INC.
Entity Type:Organization
Organization Name:SOLIS ACUPUNCTURE INC.
Other - Org Name:PEOPLE'S INTEGRATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:DANIELE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:UZES
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:916-826-3350
Mailing Address - Street 1:4170 GROSS ROAD EXT STE 6
Mailing Address - Street 2:
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-2054
Mailing Address - Country:US
Mailing Address - Phone:831-464-1605
Mailing Address - Fax:831-464-1638
Practice Address - Street 1:4170 GROSS ROAD EXT STE 6
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-2054
Practice Address - Country:US
Practice Address - Phone:831-464-1605
Practice Address - Fax:831-464-1638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-01
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC14351171100000X
CAAC14591171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty