Most Relevant Information
Provider Data
| NPI Number: | 1003683863 |
| Provider Name: | JONATHAN CHRISTOPHER SOLOMON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/11/2023 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
4000 ORANGE ST
RIVERSIDE
CA
925013613
Practice Location Phone/Fax
| Phone: | 9519554545 |
| Fax: |
Provider Mailing Location
24162 STONEBRIDGE CT
MORENO VALLEY
CA
925517615
Provider Mailing Phone/Fax
| Phone: | 9519907169 |
| Fax: |