Healthcare Provider Details

I. General information

NPI: 1801801329
Provider Name (Legal Business Name): SOLOMON WOLF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 NEWELL HILL PL STE 102
WALNUT CREEK CA
94596-5230
US

IV. Provider business mailing address

PO BOX 59064
SAN JOSE CA
95159-0064
US

V. Phone/Fax

Practice location:
  • Phone: 503-314-5784
  • Fax: 650-434-4937
Mailing address:
  • Phone: 503-314-5784
  • Fax: 650-434-4937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD19477
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: