Provider Demographics
NPI:1063584035
Name:SOLIS, CARLOS GERARD (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:GERARD
Last Name:SOLIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9580 OAK AVENUE PKWY
Mailing Address - Street 2:SUITE 7-164
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-1888
Mailing Address - Country:US
Mailing Address - Phone:916-761-8356
Mailing Address - Fax:
Practice Address - Street 1:9580 OAK AVENUE PKWY
Practice Address - Street 2:SUITE 7-164
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-1888
Practice Address - Country:US
Practice Address - Phone:916-761-8356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG778992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry