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NPI Code Detail

MEDICARE: MARK P SOLOMON MD

MEDICARE: MARK P SOLOMON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery PhysicianG136862CA

General Provider Information

NPI Number : 1235257411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK P SOLOMON MD
Provider Business Mailing Address
First Line : 9033 WILSHIRE BLVD STE 200
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1836
Country : US
Telephone Number : 310-299-3553
Fax Number :
Provider Business Practice Location Address
First Line : 9033 WILSHIRE BLVD STE 200
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-1836
Country : US
Telephone Number : 310-299-3553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 12/16/2025

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