Solomon N Forouzesh M D Inc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A30592 Issued in CA

Legal business name

SOLOMON N FOROUZESH M D INC

Practice address

9808 Venice Blvd Ste 604
Culver City, CA 90232-6820

Phone

(310) 204-6811

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Solomon Forouzesh, M.D.NPI 1457548133

Title

President

Phone

(310) 204-6811

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Solomon N Forouzesh, M.D.

  • Rheumatology Physician
  • Culver City, CA
  • NPI 1457548133
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1881783223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 604",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326820",
            "telephone_number": "310-204-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 604",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326820",
            "telephone_number": "310-204-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON N FOROUZESH M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "FOROUZESH",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-204-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A30592",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A30592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A305920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Solari
• Soheil Alexander Soleimani, DDS
• Gavino Candari Solidum
• Tammy Lee Solko, M.A.
• Suzanne Nicole Sollars, SUZEE
• Irma Avelar Solorio
• Rudy Solorzano
• Iskra Somarriba
• Mandy Sommers
• Annie Son

• Rheumatology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.