Provider Demographics
NPI:1871043067
Name:SOLOMON CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:SOLOMON CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-381-0378
Mailing Address - Street 1:7320 FIRESTONE BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4135
Mailing Address - Country:US
Mailing Address - Phone:562-381-0378
Mailing Address - Fax:562-381-0566
Practice Address - Street 1:7320 FIRESTONE BLVD STE 115
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4135
Practice Address - Country:US
Practice Address - Phone:562-381-0378
Practice Address - Fax:562-381-0566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty