Solomon, Mitchell Lee
Solomon, Mitchell Lee is an sole proprietor health care provider with primary practice located at 2975 Sycamore Dr , Simi Valley CA 93065-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Solomon, Mitchell Lee can be contacted via phone (805) 955-6900.Contact Information
Primary practice address
2975 Sycamore Dr
Simi Valley CA 93065-1201
Phone: (805) 955-6900
Fax: (805) 955-6063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G86434 | California |
Profile Details
| NPI number | 1790799351 |
|---|---|
| LBN Legal business name | Solomon, Mitchell Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Aug 22nd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790799351 | NPPES |
| California | Other | 00G864340 | BLUE SHIELD |
| California | MEDICAID | 00G864340 | BLUE SHIELD |
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