Healthcare Provider Details

I. General information

NPI: 1164278123
Provider Name (Legal Business Name): VERONIKA SOLOMON DNP, PMHNP-BC, PHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17100 PIONEER BLVD STE 170
ARTESIA CA
90701-2713
US

IV. Provider business mailing address

3210 LONG BEACH BLVD
LONG BEACH CA
90807-5062
US

V. Phone/Fax

Practice location:
  • Phone: 562-207-9218
  • Fax:
Mailing address:
  • Phone: 562-548-6500
  • Fax: 562-207-9203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95316470
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95035903
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: