Provider Demographics
NPI:1285028209
Name:SOLOMON CARE M.D., INC., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SOLOMON CARE M.D., INC., A PROFESSIONAL CORPORATION
Other - Org Name:LONG BEACH WOMEN'S AND CHILDREN'S MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKTINEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-624-1111
Mailing Address - Street 1:1040 ELM AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3264
Mailing Address - Country:US
Mailing Address - Phone:562-624-1111
Mailing Address - Fax:562-624-1115
Practice Address - Street 1:1040 ELM AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3264
Practice Address - Country:US
Practice Address - Phone:562-624-1111
Practice Address - Fax:562-624-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty