Provider Demographics
NPI:1275913980
Name:GRUPO MEDICO DEL CARMEN A MULTY SPECIALTY MEDICAL GROUP, INC
Entity Type:Organization
Organization Name:GRUPO MEDICO DEL CARMEN A MULTY SPECIALTY MEDICAL GROUP, INC
Other - Org Name:CLINICA MEDICA DEL CARMEN - NORWALK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C. E. O.
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:5628-073-7777
Mailing Address - Street 1:13939 SAN ANTONIO DR
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-4036
Mailing Address - Country:US
Mailing Address - Phone:562-807-3777
Mailing Address - Fax:888-882-7876
Practice Address - Street 1:13939 SAN ANTONIO DR
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4036
Practice Address - Country:US
Practice Address - Phone:562-807-3777
Practice Address - Fax:888-882-7876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty