Healthcare Provider Details

I. General information

NPI: 1558398602
Provider Name (Legal Business Name): MAJID SOLEIMANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5995 TOPANGA CANYON BLVD
WOODLAND HILLS CA
91367-3623
US

IV. Provider business mailing address

22636 OXNARD ST
WOODLAND HILLS CA
91367-3321
US

V. Phone/Fax

Practice location:
  • Phone: 818-888-7009
  • Fax:
Mailing address:
  • Phone: 818-919-1075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA 94863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: