MEDICARE: DR. ASHKAN SOLEYMANI DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	E4401	CA
2	213ES0000X	Sports Medicine Podiatrist	E4401	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770525065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHKAN SOLEYMANI DPM

Provider Business Mailing Address
First Line	:	PO BOX 17899
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90209-3899
Country	:	US
Telephone Number	:	310-925-2022
Fax Number	:

Provider Business Practice Location Address
First Line	:	18370 BURBANK BLVD STE 714
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-2827
Country	:	US
Telephone Number	:	818-769-8637
Fax Number	:

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	04/12/2020

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