Provider Demographics
NPI:1750470357
Name:SLEIMAN, RAYMOND A (MD)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:A
Last Name:SLEIMAN
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 1:3816 WOODRUFF AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2146
Mailing Address - Country:US
Mailing Address - Phone:562-420-1945
Mailing Address - Fax:562-420-6429
Practice Address - Street 1:3816 WOODRUFF AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2146
Practice Address - Country:US
Practice Address - Phone:562-420-1945
Practice Address - Fax:562-420-6429
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA32997208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A329970Medicaid
A27004Medicare UPIN
CAA32997Medicare ID - Type Unspecified