MEDICARE: SIRAROTOGA SOLOMONA

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
1	106H00000X	Marriage & Family Therapist	154596	CA
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1407324486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIRAROTOGA SOLOMONA

Provider Business Mailing Address
First Line	:	8750 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-4830
Country	:	US
Telephone Number	:	323-593-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8750 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-4830
Country	:	US
Telephone Number	:	323-593-5300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2018
Last Update Date	:	05/07/2025

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Directions to “ SIRAROTOGA SOLOMONA ” Practice Location

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