Organization
SOLOMON N FOROUZESH M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLOMON FOROUZESH M.D. (PRESIDENT)
(310) 204-6811
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD STE 604, CULVER CITY, CA 90232-6820
(310) 204-6811
Mailing address
9808 VENICE BLVD STE 604, CULVER CITY, CA 90232-6820
(310) 204-6811
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
10/12/2006
Last updated
04/22/2024
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