Provider Demographics
NPI:1336748292
Name:SOLITANA, ROY CHRISTOPHER (NP)
Entity Type:Individual
Prefix:MR
First Name:ROY
Middle Name:CHRISTOPHER
Last Name:SOLITANA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:415-547-4810
Mailing Address - Fax:415-375-4888
Practice Address - Street 1:2645 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1633
Practice Address - Country:US
Practice Address - Phone:415-547-4810
Practice Address - Fax:415-375-4888
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP95011636OtherSTATE MEDICAL LICENSEQ