Provider Demographics
NPI:1902431265
Name:SOLOMON, ERAN ARIE (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ERAN
Middle Name:ARIE
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11022 SANTA MONICA BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-7573
Mailing Address - Country:US
Mailing Address - Phone:323-761-0801
Mailing Address - Fax:
Practice Address - Street 1:9454 WILSHIRE BLVD PH
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2937
Practice Address - Country:US
Practice Address - Phone:323-761-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-06
Last Update Date:2023-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109075106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist