Provider Demographics
NPI:1770371106
Name:SOLOMON, PHOEBE JANE (EMT)
Entity type:Individual
Prefix:
First Name:PHOEBE
Middle Name:JANE
Last Name:SOLOMON
Suffix:
Gender:
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9903 SANTA MONICA BLVD
Mailing Address - Street 2:#246
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:818-231-7576
Mailing Address - Fax:
Practice Address - Street 1:1843 1/2 S BEVERLY GLEN BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5042
Practice Address - Country:US
Practice Address - Phone:818-231-7576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3914465146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate