Provider Demographics
NPI:1740347723
Name:ROBERT J. SOLOMON, M.D., INC.
Entity type:Organization
Organization Name:ROBERT J. SOLOMON, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-753-5283
Mailing Address - Street 1:12526 HIGH BLUFF DR
Mailing Address - Street 2:300
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2064
Mailing Address - Country:US
Mailing Address - Phone:760-753-5283
Mailing Address - Fax:
Practice Address - Street 1:12526 HIGH BLUFF DR
Practice Address - Street 2:300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2064
Practice Address - Country:US
Practice Address - Phone:760-753-5283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty