Provider Demographics
NPI:1497863534
Name:SOLEIMAN, BOBBY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BOBBY
Middle Name:
Last Name:SOLEIMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 STRATFORD CIR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1318
Mailing Address - Country:US
Mailing Address - Phone:818-389-7288
Mailing Address - Fax:
Practice Address - Street 1:40770 CALIFORNIA OAKS RD
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5727
Practice Address - Country:US
Practice Address - Phone:951-677-3078
Practice Address - Fax:951-600-0498
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002024651223P0300X
NVS4-61C1223P0300X
WADE605686751223P0300X
ORD102961223P0300X
UT9578186-99211223P0300X
MNS1281223P0300X
MO20170117501223P0300X
CA438601223P0300X
KS613281223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No1223P0700XDental ProvidersDentistProsthodontics