Healthcare Provider Details

I. General information

NPI: 1194362673
Provider Name (Legal Business Name): EVE ALEXANDRA SOLOMON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2019
Last Update Date: 07/06/2025
Certification Date: 07/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 BROADWAY STE 2800
SACRAMENTO CA
95820-1536
US

IV. Provider business mailing address

4900 BROADWAY STE 2800
SACRAMENTO CA
95820-1536
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-0870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberA191326
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: