Provider Demographics
NPI:1851082267
Name:GASTROENTEROLOGY MEDICAL PRACTICE OF PEJMAN SOLAIMANI MD INC
Entity Type:Organization
Organization Name:GASTROENTEROLOGY MEDICAL PRACTICE OF PEJMAN SOLAIMANI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIEF EXCUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEJMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLAIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-927-4063
Mailing Address - Street 1:6927 BROCKTON AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3807
Mailing Address - Country:US
Mailing Address - Phone:310-927-4063
Mailing Address - Fax:
Practice Address - Street 1:6927 BROCKTON AVE STE 2A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3807
Practice Address - Country:US
Practice Address - Phone:310-927-4063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty