1730385048 NPI number — A.SOLIMAN,D.D.S.,INC.

Table of content: (NPI 1730385048)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730385048 NPI number — A.SOLIMAN,D.D.S.,INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A.SOLIMAN,D.D.S.,INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
N/A
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730385048
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/13/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28052 CAMINO CAPISTRANO
Provider Second Line Business Mailing Address:
SUITE 212
Provider Business Mailing Address City Name:
LAGUNA NIGUEL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92677-1121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-364-2671
Provider Business Mailing Address Fax Number:
949-364-2672

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
28052 CAMINO CAPISTRANO
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
LAGUNA NIGUEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92677-1121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-364-2671
Provider Business Practice Location Address Fax Number:
949-364-2672
Provider Enumeration Date:
06/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SOLIMAN
Authorized Official First Name:
ASHRAF
Authorized Official Middle Name:
LOUTFI
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
949-364-2671

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  37923 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G91275-01 . This is a "MEDICAL" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com