Healthcare Provider Details

I. General information

NPI: 1356401178
Provider Name (Legal Business Name): NORMAN H SOLOMON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 12/12/2019
Certification Date: 12/12/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 SAWTELLE BLVD STE 130
LOS ANGELES CA
90025-7072
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US

V. Phone/Fax

Practice location:
  • Phone: 310-996-9355
  • Fax: 310-231-3016
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG53584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: