# MICHAEL ROBERT SOLOMON MD LAC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346318821
- **Authorized official:** MICHAEL ROBERT SOLOMON MD (OWNER PRESIDENT)
- **Authorized official phone:** (760) 416-0042

## Contact information

- **Practice address:** 340 S FARRELL DR, SUITE A110, PALM SPRINGS, CA 92262-7921
- **Practice address phone:** (760) 416-0042
- **Practice address fax:** (760) 416-0142
- **Mailing address:** 340 S FARRELL DR, SUITE A110, PALM SPRINGS, CA 92262-7921
- **Mailing address phone:** (760) 416-0042
- **Mailing address fax:** (760) 416-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G81467 | CA | Yes |
| 208D00000X | General Practice Physician | MD10726R | LA | — |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 08/22/2020