Individual
DR. JEFFREY MARK SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19632 VILLAGE OAKS CIR, HUNTINGTON BEACH, CA 92648-6647
(714) 337-0125
Mailing address
19632 VILLAGE OAKS CIR, HUNTINGTON BEACH, CA 92648-6647
(714) 337-0125
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G52837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G528370
BLUE SHIELD ID #
CA
05
—
00G528370
—
CA
01
—
00G528370385
CALOPTIMA ID #
CA
01
—
050061874
RAILROAD MEDICARE ID #
CA
Enumeration date
07/25/2006
Last updated
11/16/2023
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