Provider Demographics
NPI:1144215849
Name:SOLIEMANZADEH, PEYMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PEYMAN
Middle Name:
Last Name:SOLIEMANZADEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9201 W SUNSET BLVD
Mailing Address - Street 2:M130
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069-3701
Mailing Address - Country:US
Mailing Address - Phone:310-276-6800
Mailing Address - Fax:310-276-6801
Practice Address - Street 1:9201 W SUNSET BLVD
Practice Address - Street 2:M130
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069-3701
Practice Address - Country:US
Practice Address - Phone:310-276-6800
Practice Address - Fax:310-276-6801
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90211207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery