Solomon, Jeffrey Mark
Solomon, Jeffrey Mark is an sole proprietor health care provider with primary practice located at 19632 Village Oaks Cir , Huntington Beach CA 92648-6647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Solomon, Jeffrey Mark can be contacted via phone (714) 337-0125.Contact Information
Primary practice address
19632 Village Oaks Cir
Huntington Beach CA 92648-6647
Phone: (714) 337-0125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G52837 | California |
Profile Details
| NPI number | 1144243965 |
|---|---|
| LBN Legal business name | Solomon, Jeffrey Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Nov 16th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144243965 | NPPES |
| California | MEDICAID | 00G528370 | |
| California | Other | 00G528370385 | |
| California | Other | 050061874 | |
| California | Other | 00G528370 |
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