Provider Demographics
NPI:1841298106
Name:BREA FAMILY CARE, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:BREA FAMILY CARE, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR - FAMILY PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:714-990-1882
Mailing Address - Street 1:1275 N ROSE DR
Mailing Address - Street 2:STE 130
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3941
Mailing Address - Country:US
Mailing Address - Phone:714-990-1882
Mailing Address - Fax:714-990-0826
Practice Address - Street 1:1275 N ROSE DR
Practice Address - Street 2:STE 130
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3941
Practice Address - Country:US
Practice Address - Phone:714-990-1882
Practice Address - Fax:714-990-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60881207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA60881CMedicare ID - Type UnspecifiedDR. RASHA SOLIMAN
CAWA60060CMedicare ID - Type UnspecifiedDR. SHIRLEY CHUNG