Organization Active NPI

Solomon Laktineh, M.D. a Medical Corporation

  • Pediatrics Physician
  • Long Beach, CA
National Provider Identifier
1093068330
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A50421 Issued in CA
Legal business name
SOLOMON LAKTINEH, M.D. A MEDICAL CORPORATION
Practice address
6624 Cherry Ave
Long Beach, CA 90805-1715
Phone
(562) 630-2200
Fax
(562) 630-2209
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Solomon Laktineh, M.D.NPI 1891820627
Title
President
Phone
(562) 624-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A50421 CA Primary

Addresses

Primary practice location

6624 Cherry Ave
Long Beach, CA 90805-1715

Mailing address

1040 Elm Ave Suite 304
Long Beach, CA 90813-3267
Phone (562) 624-1111

National Provider Directory

National Provider Directory
Tax ID family
Solomon Laktineh a Medical Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6624 Cherry Ave
Long Beach, CA 90805
Phone (562) 630-2200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1093068330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 ELM AVE SUITE 304",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133267",
            "telephone_number": "562-624-1111",
            "fax_number": "562-624-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 CHERRY AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908051715",
            "telephone_number": "562-630-2200",
            "fax_number": "562-630-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON LAKTINEH, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "LAKTINEH",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-624-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A50421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.