MEDICARE: TANZILA SULIMAN

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	152W00000X	Optometrist	36209	CA

General Provider Information

NPI Number	:	1528996121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANZILA SULIMAN

Provider Business Mailing Address
First Line	:	15920 SERENADE LN
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336-5076
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16855 VALLEY BLVD STE A-B
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92335-6621
Country	:	US
Telephone Number	:	909-320-6667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ TANZILA SULIMAN ” Practice Location

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