Healthcare Provider Details

I. General information

NPI: 1811060882
Provider Name (Legal Business Name): ROBERT CHARLES SOLOMON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12606 CAMINO VUELO
SAN DIEGO CA
92128-1415
US

IV. Provider business mailing address

12606 CAMINO VUELO
SAN DIEGO CA
92128-1415
US

V. Phone/Fax

Practice location:
  • Phone: 412-303-0265
  • Fax:
Mailing address:
  • Phone: 412-303-0265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG202553
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number59597
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: