Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 20A12226 | CA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 288011 | NY |
Y | 2081P2900X | Pain Medicine | 20A12226 | CA |
NPI | 1063732998 |
---|---|
Provider Name | Joseph Patrick Solberg |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Santa Monica, CA 90401-2072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 08/01/2021 |