| Solomon Medical Inc | |
|
1990 Fruitdale Ave San Jose CA 95128-2709 | |
| (408) 998-8447 | |
| (408) 288-9812 |
| Full Name | Solomon Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1990 Fruitdale Ave, San Jose, California |
| Authorized Official Name and Position | Matthew Joel Awerbuck (OWNER) |
| Authorized Official Contact | 4084012581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solomon Medical Inc 1120 Forest Ave # 138 Pacific Grove CA 93950-5105 Ph: () - | Solomon Medical Inc 1990 Fruitdale Ave San Jose CA 95128-2709 Ph: (408) 998-8447 |
| NPI Number | 1043928724 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043928724 | NPI | - | NPPES |
| A131930 | Other | CA | CA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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