Provider Demographics
NPI:1407880156
Name:SOLOMON, GILBERT LLOYD (MD)
Entity Type:Individual
Prefix:
First Name:GILBERT
Middle Name:LLOYD
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6300 CANOGA AVE
Mailing Address - Street 2:SEVENTH FLOOR
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2555
Mailing Address - Country:US
Mailing Address - Phone:818-228-2335
Mailing Address - Fax:818-228-2079
Practice Address - Street 1:6300 CANOGA AVE
Practice Address - Street 2:SEVENTH FLOOR
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2555
Practice Address - Country:US
Practice Address - Phone:818-228-2335
Practice Address - Fax:818-228-2079
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2015-03-02
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Provider Licenses
StateLicense IDTaxonomies
CAG38522207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG38522QMedicare UPIN