Provider Demographics
NPI:1285927327
Name:SOLEYMANI, SAM (RDCS)
Entity type:Individual
Prefix:
First Name:SAM
Middle Name:
Last Name:SOLEYMANI
Suffix:
Gender:M
Credentials:RDCS
Other - Prefix:
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Mailing Address - Street 1:18003 HARVEST AVE
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-5549
Mailing Address - Country:US
Mailing Address - Phone:562-304-6566
Mailing Address - Fax:562-267-2939
Practice Address - Street 1:16660 PARAMOUNT BLVD STE 202
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5457
Practice Address - Country:US
Practice Address - Phone:562-304-6566
Practice Address - Fax:562-261-2939
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA53010246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography