Solivan, Luis A.

Solivan, Luis A. is an individual health care provider with primary practice located at 4445 Magnolia Ave , Riverside CA 92501-4135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Solivan, Luis A. can be contacted via phone (951) 788-3400.

Contact Information

Primary practice address
4445 Magnolia Ave Riverside CA 92501-4135
Phone: (951) 788-3400
Fax: (951) 788-3194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 950073 California

Profile Details

NPI number 1891796660
LBN Legal business name Solivan, Luis A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 17th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891796660 NPPES
California MEDICAID 009500730
California MEDICAID 00G500730

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