Doctor Name: | DR. ASHKAN SOLEYMANI |
NPI Number: | 1770525065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | E4401 |
Business Practice Address: | 12525 Magnolia Blvd N Hollywood, CA - 916072305 |
Business Phone Number: | 8187698637 |
Business Fax Number: | |
Mailing Address: | Po Box 17899, BEVERLY HILLS |
State: | CA |
Postal Code: | 902093899 |
Phone Number: | 3109252022 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | E4401 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |