Healthcare Provider Details

I. General information

NPI: 1467408807
Provider Name (Legal Business Name): AYMAN NEOMAN MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 12/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E 28TH ST STE 301
LONG BEACH CA
90806-2777
US

IV. Provider business mailing address

701 E 28TH ST STE 301
LONG BEACH CA
90806-2777
US

V. Phone/Fax

Practice location:
  • Phone: 562-427-7275
  • Fax: 562-595-9346
Mailing address:
  • Phone: 562-427-7275
  • Fax: 562-595-9346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AYMAN I NEOMAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 562-427-7275