Basic Information
Provider Information
NPI: 1184939381
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUANG
FirstName: SOLOMON
MiddleName: CHRISTOPHER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1869
Address2:  
City: UPLAND
State: CA
PostalCode: 917851869
CountryCode: US
TelephoneNumber: 9099815882
FaxNumber:  
Practice Location
Address1: 1317 W FOOTHILL BLVD
Address2: STE 148
City: UPLAND
State: CA
PostalCode: 917863676
CountryCode: US
TelephoneNumber: 9099815882
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/11/2010
LastUpdateDate: 08/02/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA122487CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RN0300XA122487CAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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