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Individual
DR. MITCHELL C SOLLOD
Active
Individual
DR. MITCHELL C SOLLOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
C27394
CA
208000000X
Pediatrics Physician
Primary
C27394
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C273940
—
CA
01
—
943234237
FEDERAL TAX IDENT NUMBER
—
Enumeration date
12/26/2006
Last updated
07/20/2007
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