| Organization Name: | MTBLO MEDICAL GROUP INC |
| NPI Number: | 1316241946 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KARIM SOLIMAN (M.D.) |
| Mailing Address: | 540 N Montebello Blvd Ste D Montebello |
| State: | CA US |
| Postal Code: | 906403662 |
| Phone Number: | 3237280080 |
| Fax Number: | 3237280090 |
| NPI Enumeration Date: | 12/22/2010 |
| NPI Last Update Date: | 12/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C51512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |