| Borna Solomon Md., Corp | |
|
10535 Wilshire Blvd Apt 1710 Los Angeles CA 90024-4558 | |
| (310) 560-7949 | |
| Not Available |
| Full Name | Borna Solomon Md., Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 10535 Wilshire Blvd Apt 1710, Los Angeles, California |
| Authorized Official Name and Position | Borna Solomon (AUTHORIZED OFFICIAL/ OWNER) |
| Authorized Official Contact | 3105607949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Borna Solomon Md., Corp 10535 Wilshire Blvd Apt 1710 Los Angeles CA 90024-4558 Ph: (310) 560-7949 | Borna Solomon Md., Corp 10535 Wilshire Blvd Apt 1710 Los Angeles CA 90024-4558 Ph: (310) 560-7949 |
| NPI Number | 1386418333 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 7810430162 |
|---|---|
| Medicare Enrollment ID | O20240614003519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386418333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Borna Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124300082 PECOS PAC ID: 6507015120 Enrollment ID: I20120925000654 |
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