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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 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
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