Provider Demographics
NPI:1740014539
Name:SOLOMON, ALETA LEANGEL
Entity type:Individual
Prefix:
First Name:ALETA
Middle Name:LEANGEL
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 MURPHY CANYON RD STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4408
Mailing Address - Country:US
Mailing Address - Phone:760-509-3444
Mailing Address - Fax:
Practice Address - Street 1:3890 MURPHY CANYON RD
Practice Address - Street 2:STE 250
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4408
Practice Address - Country:US
Practice Address - Phone:760-509-3444
Practice Address - Fax:760-407-6415
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program