Healthcare Provider Details

I. General information

NPI: 1497665863
Provider Name (Legal Business Name): TAYLOR SOLOMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 N RAYMOND AVE BLDG 2-7
PASADENA CA
91103-1819
US

IV. Provider business mailing address

626 PROSPECT AVE APT L
SOUTH PASADENA CA
91030-2463
US

V. Phone/Fax

Practice location:
  • Phone: 626-396-5920
  • Fax:
Mailing address:
  • Phone: 951-723-7931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: