| Solomon N Forouzesh M D Inc | |
|
9808 Venice Blvd Ste 604 Culver City CA 90232-6820 | |
| (310) 204-6811 | |
| Not Available |
| Full Name | Solomon N Forouzesh M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9808 Venice Blvd Ste 604, Culver City, California |
| Authorized Official Name and Position | Solomon Forouzesh (PRESIDENT) |
| Authorized Official Contact | 3102046811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solomon N Forouzesh M D Inc 9808 Venice Blvd Ste 604 Culver City CA 90232-6820 Ph: (310) 204-6811 | Solomon N Forouzesh M D Inc 9808 Venice Blvd Ste 604 Culver City CA 90232-6820 Ph: (310) 204-6811 |
| NPI Number | 1881783223 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 04/22/2024 |
| Medicare PECOS PAC ID | 7911057005 |
|---|---|
| Medicare Enrollment ID | O20090611000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881783223 | NPI | - | NPPES |
| 00A305920 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A30592 (California) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | A30592 (California) | Primary |
| Provider Name | Solomon Forouzesh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457548133 PECOS PAC ID: 9335224831 Enrollment ID: I20090601000424 |
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