| Julie Boutros Soliman, | |
|
25815 Barton Rd # C102, Loma Linda, CA 92354-3893 | |
| (909) 478-1100 | |
| Not Available |
| Full Name | Julie Boutros Soliman |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 25815 Barton Rd # C102, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164919247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 32578 (California) | Primary |
| 103T00000X | Psychologist | 32578 (California) | Secondary |
| Entity Name | Seventh-day Adventists Loma Linda University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720500457 PECOS PAC ID: 8325099138 Enrollment ID: O20240302000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Boutros Soliman, 15957 Butterfly Dr, Fontana, CA 92336-5582 Ph: (818) 689-0359 | Julie Boutros Soliman, 25815 Barton Rd # C102, Loma Linda, CA 92354-3893 Ph: (909) 478-1100 |
Dr. Krystal Gregg, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Deborah Elizabeth Kessel Tallungan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Behavioral Medicine Service (116a), Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Diane E. Bunker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Jerry L. Pettis Vamc, 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Elizabeth Grace, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Dr. Tori R. Van Dyk, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11130 Anderson St, Loma Linda, CA 92350 Phone: 909-553-7412 | |
Dr. Luther Eugene Davis, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 11201 Benton St # 116a, Loma Linda, CA 92357 Phone: 909-894-7424 | |
Jonathan Patrick Dougherty, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 |