# PORT MEDICAL ASSOCIATE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Port Medical Long Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992935639
- **Authorized official:** DR. KARIM A. SOLIMAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 426-4598

## Contact information

- **Practice address:** 2530 ATLANTIC AVE STE A, LONG BEACH, CA 90806-2741
- **Practice address phone:** (562) 426-4598
- **Practice address fax:** (562) 318-3042
- **Mailing address:** PO BOX 6200, LONG BEACH, CA 90806
- **Mailing address phone:** (562) 426-4598
- **Mailing address fax:** (562) 318-3042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 208D00000X | General Practice Physician | FNP39177 | CA | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 12/18/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | FNP39177 | FICTITIOUS NAME PERMIT | CA |