Healthcare Provider Details

I. General information

NPI: 1275106502
Provider Name (Legal Business Name): SOLOMON MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SKYLINE DR
MONTEREY CA
93940-4110
US

IV. Provider business mailing address

1120 FOREST AVE # 138
PACIFIC GROVE CA
93950-5105
US

V. Phone/Fax

Practice location:
  • Phone: 831-402-8728
  • Fax: 831-372-8929
Mailing address:
  • Phone: 831-402-8728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW JOEL AWERBUCK
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 831-373-3716