MEDICARE: GILBERT LLOYD SOLOMON M.D.

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	207Q00000X	Family Medicine Physician	G38522	CA

General Provider Information

NPI Number	:	1407880156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILBERT LLOYD SOLOMON M.D.

Provider Business Mailing Address
First Line	:	6300 CANOGA AVE
Second Line	:	SEVENTH FLOOR
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-2555
Country	:	US
Telephone Number	:	818-228-2335
Fax Number	:	818-228-2079

Provider Business Practice Location Address
First Line	:	6300 CANOGA AVE
Second Line	:	SEVENTH FLOOR
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-2555
Country	:	US
Telephone Number	:	818-228-2335
Fax Number	:	818-228-2079

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	03/02/2015

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