Forouzesh, Solomon N
Forouzesh, Solomon N is an sole proprietor health care provider with primary practice located at 9808 Venice Blvd Ste 604, Culver City CA 90232-2732. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Forouzesh, Solomon N can be contacted via phone (310) 204-5555.Contact Information
Primary practice address
9808 Venice Blvd Ste 604
Culver City CA 90232-2732
Phone: (310) 204-5555
Fax: (310) 204-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | A30592 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A30592 | California |
Profile Details
| NPI number | 1457548133 |
|---|---|
| LBN Legal business name | Forouzesh, Solomon N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Sep 26th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457548133 | NPPES |
| California | MEDICAID | 00A305920 |
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