Individual
SOLOMON N FOROUZESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9808 VENICE BLVD, STE 604, CULVER CITY, CA 90232-2732
(310) 204-5555
(310) 204-6580
Mailing address
9808 VENICE BLVD, STE 604, CULVER CITY, CA 90232-2732
(310) 204-5555
(310) 204-6580
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A30592
CA
208D00000X
General Practice Physician
A30592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A305920
—
CA
Enumeration date
09/26/2007
Last updated
09/26/2007
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