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NPI Code Detail

MEDICARE: DR. GEORGE SOMLO MD

MEDICARE:  DR. GEORGE  SOMLO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA40179CA
2207RH0003XHematology & Oncology PhysicianA40179CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831206861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE SOMLO MD
Provider Business Mailing Address
First Line : 1601 ISLAND VIEW DR
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-5740
Country : US
Telephone Number : 562-596-6038
Fax Number :
Provider Business Practice Location Address
First Line : 1601 ISLAND VIEW DR
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-5740
Country : US
Telephone Number : 562-596-6038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 06/13/2018

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Directions to “ DR. GEORGE SOMLO MD” Practice Location

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