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Sarah Grace Soliman

Internal Medicine

Allopathic & Osteopathic Physicians

1250 16th St, Santa Monica, CA 90404-1249

PECOS Enrollment

This provider is enrolled in PECOS as SARAH SOLIMAN.

Based on the most recent information from CMS, provider Sarah Grace Soliman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1528528023
Provider Type
Individual
Full Name
Soliman, Sarah Grace
Gender
Female

Sole Proprietor
No
Enumeration Date
3/21/2019
Last Updated
5/29/2024

Contact Information

Practice Location

1250 16th St, Santa Monica, CA 90404-1249

(310) 319-4698

(310) 319-4908

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A182064 California
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License A182064 California

Sarah Grace Soliman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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