| Mitchell Lee Solomon, MD | |
|
2975 Sycamore Dr, Simi Valley, CA 93065-1201 | |
| (805) 955-6900 | |
| (805) 955-6063 |
| Full Name | Mitchell Lee Solomon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 2975 Sycamore Dr, Simi Valley, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790799351 | NPI | - | NPPES |
| 00G864340 | Other | CA | BLUE SHIELD |
| 00G864340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G86434 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Simi Valley | Simi valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Simi Valley Anesthesia Medical Group | 2062454804 | 20 |
| Entity Name | Simi Valley Anesthesia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912936709 PECOS PAC ID: 2062454804 Enrollment ID: O20050523000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Lee Solomon, MD Po Box 60790, Pasadena, CA 91116-6790 Ph: (626) 795-6596 | Mitchell Lee Solomon, MD 2975 Sycamore Dr, Simi Valley, CA 93065-1201 Ph: (805) 955-6900 |
Vivek Ratnakar Ullal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6900 Fax: 805-955-6063 | |
Kanakavalli Suresh Iyer, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6900 Fax: 805-955-6063 | |
Rajiv Budden, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1920 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-306-8800 Fax: 805-306-8818 | |
Martha Mantilla Donovan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6900 Fax: 805-955-6063 | |
Dr. Zaheer S Zaidi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6000 | |
Kyo Young Chu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6900 Fax: 805-955-6063 |