Provider Demographics
NPI:1669211488
Name:SOLIMAN, LOIS (PA-S2)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:SOLIMAN
Suffix:
Gender:F
Credentials:PA-S2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18961 RACINE DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-3314
Mailing Address - Country:US
Mailing Address - Phone:949-333-2099
Mailing Address - Fax:
Practice Address - Street 1:1000 S. FREMONT AVE.
Practice Address - Street 2:UNIT 7, BLDG A-10, STE. N10100
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803
Practice Address - Country:US
Practice Address - Phone:626-457-4263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant