Healthcare Provider Details

I. General information

NPI: 1841298106
Provider Name (Legal Business Name): BREA FAMILY CARE, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 05/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 N ROSE DR STE 130
PLACENTIA CA
92870-3941
US

IV. Provider business mailing address

1275 N ROSE DR STE 130
PLACENTIA CA
92870-3941
US

V. Phone/Fax

Practice location:
  • Phone: 714-990-1882
  • Fax: 714-990-0826
Mailing address:
  • Phone: 714-990-1882
  • Fax: 714-990-0826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA60881
License Number StateCA

VIII. Authorized Official

Name: DR. RASHA SOLIMAN
Title or Position: DOCTOR - FAMILY PRACTICE
Credential: M. D.
Phone: 714-990-1882