| Centro Medico Inc. | |
|
11946 Hawthorne Blvd. Hawthorne CA 90250-3016 | |
| (310) 675-1136 | |
| (310) 970-1447 |
| Full Name | Centro Medico Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 11946 Hawthorne Blvd., Hawthorne, California |
| Authorized Official Name and Position | Nabil Nazir Soliman (OWNER) |
| Authorized Official Contact | 3106751136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico Inc. 11946 Hawthorne Blvd. Hawthorne CA 90250-3016 Ph: (310) 675-1136 | Centro Medico Inc. 11946 Hawthorne Blvd. Hawthorne CA 90250-3016 Ph: (310) 675-1136 |
| NPI Number | 1497776322 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 2163617846 |
|---|---|
| Medicare Enrollment ID | O20101108000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497776322 | NPI | - | NPPES |
| GR0057390 | Medicaid | CA | |
| ZZZ39006Z | Other | CA | BLUE SHIELD PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Janet F Soliman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548295066 PECOS PAC ID: 6507051281 Enrollment ID: I20101108000544 |
| Provider Name | Nabil N Soliman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831114289 PECOS PAC ID: 6901091685 Enrollment ID: I20101108000625 |
| Provider Name | Christine Nabil Soliman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821404450 PECOS PAC ID: 5991077927 Enrollment ID: I20170824003698 |
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