| Organization Name: | MICHAEL ROBERT SOLOMON MD LAC PC |
| NPI Number: | 1346318821 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL ROBERT SOLOMON (OWNER PRESIDENT) |
| Mailing Address: | 340 S Farrell Dr Suite A110 Palm Springs |
| State: | CA US |
| Postal Code: | 922627921 |
| Phone Number: | 7604160042 |
| Fax Number: | 7604160142 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD10726R |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |