Healthcare Provider Details

I. General information

NPI: 1184234528
Provider Name (Legal Business Name): MICHAEL SOLIMAN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MICHAEL SOLIMAN RPH

II. Dates (important events)

Enumeration Date: 07/31/2020
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16444 PARAMOUNT BLVD STE 101
PARAMOUNT CA
90723-5453
US

IV. Provider business mailing address

PO BOX 4909
EL MONTE CA
91734-0909
US

V. Phone/Fax

Practice location:
  • Phone: 909-815-9946
  • Fax:
Mailing address:
  • Phone: 909-815-9946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58183
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: