Healthcare Provider Details

I. General information

NPI: 1497036560
Provider Name (Legal Business Name): YOUSTINA SOLIMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7638 HEATHERLY LN
SAN DIEGO CA
92130-5601
US

IV. Provider business mailing address

7638 HEATHERLY LN
SAN DIEGO CA
92130-5601
US

V. Phone/Fax

Practice location:
  • Phone: 732-586-7289
  • Fax:
Mailing address:
  • Phone: 732-586-7289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME156897
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC160848
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number25MA09525900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: