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Centro Medico INC.

Family Medicine in Hawthorne, CA. Organization (NPI-2).

NPI number1497776322
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1497776322
Entity type
Organization (NPI-2)
Legal business name
Centro Medico INC.
Organization subpart
No
Enumeration date
Jul 23, 2006
Certification date
May 23, 2023
Last updated
May 23, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Centro Medico, INC. (Doing Business As)
  • Nabil & Janet F. Soliman (Former Legal Business Name)

Practice location

11946 Hawthorne Blvd.
Hawthorne, CA 90250-3016

Phone 310-675-1136 · Fax 310-970-1447

Mailing address

11946 Hawthorne Blvd.
Hawthorne, CA 90250-3016

Phone 310-675-1136 · Fax 310-970-1447

Authorized official

Nabil Nazir Soliman
Owner
3106751136

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Hawthorne, CA

All 29 Family Medicine Physician providers in Hawthorne · All 1,167 providers in Hawthorne

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