MEDICARE: VALLEY MEDICAL CLINIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1043691207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY MEDICAL CLINIC INC

Provider Business Mailing Address
First Line	:	13118 SHERMAN WAY
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-4645
Country	:	US
Telephone Number	:	818-255-5460
Fax Number	:	818-255-5463

Provider Business Practice Location Address
First Line	:	13118 SHERMAN WAY
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-4645
Country	:	US
Telephone Number	:	818-255-5460
Fax Number	:	818-255-5463

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KARIM A SOLIMAN
Credential	:	MD
Telephone Number	:	818-255-5460

Provider Enumeration Date	:	06/13/2015
Last Update Date	:	08/21/2015

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Directions to “VALLEY MEDICAL CLINIC INC ” Practice Location

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