Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | A129166 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A129166 | CA |
NPI | 1063654374 |
---|---|
Provider Name | Dr. Jason Solomon |
First Address | Redlands, CA 92374 |
Second Address | Redlands, CA 92374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2009 |
Last Update Date | 02/09/2016 |