Organization
CENTRO MEDICO INC.
Active
Other names
Nabil & Janet F. Soliman, CENTRO MEDICO, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NABIL NAZIR SOLIMAN M.D. (OWNER)
(310) 675-1136
Entity
Organization
Contact information
Practice address
11946 HAWTHORNE BLVD., HAWTHORNE, CA 90250-3016
(310) 675-1136
(310) 970-1447
Mailing address
11946 HAWTHORNE BLVD., HAWTHORNE, CA 90250-3016
(310) 675-1136
(310) 970-1447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057390
—
CA
01
—
ZZZ39006Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
07/23/2006
Last updated
05/23/2023
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