Healthcare Provider Details
I. General information
NPI: 1336603232
Provider Name (Legal Business Name): K&H SOLIMAN MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2019
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1580 AVONREA RD
SAN MARINO CA
91108-2309
US
IV. Provider business mailing address
1580 AVONREA RD
SAN MARINO CA
91108-2309
US
V. Phone/Fax
- Phone: 626-639-3882
- Fax:
- Phone: 213-393-1870
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARIM
SOLIMAN
Title or Position: OWNER
Credential: MD
Phone: 213-393-1870