Organization
MICHAEL ROBERT SOLOMON MD LAC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT SOLOMON MD (OWNER PRESIDENT)
(760) 416-0042
Entity
Organization
Contact information
Practice address
340 S FARRELL DR, SUITE A110, PALM SPRINGS, CA 92262-7921
(760) 416-0042
(760) 416-0142
Mailing address
340 S FARRELL DR, SUITE A110, PALM SPRINGS, CA 92262-7921
(760) 416-0042
(760) 416-0142
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G81467
CA
208D00000X
General Practice Physician
MD10726R
LA
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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