Healthcare Provider Details

I. General information

NPI: 1073436556
Provider Name (Legal Business Name): IMAN SOLIMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 N BROADWAY STE 300
SANTA ANA CA
92701-3411
US

IV. Provider business mailing address

1211 N BROADWAY STE 300
SANTA ANA CA
92701-3411
US

V. Phone/Fax

Practice location:
  • Phone: 323-999-2775
  • Fax:
Mailing address:
  • Phone: 323-999-2775
  • Fax: 323-955-2775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72902
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: