Basic Information
| Provider Information | |||||||||
| NPI: | 1467408807 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AYMAN NEOMAN MD A MEDICAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 E 28TH ST STE 301 | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908062777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5624277275 | ||||||||
| FaxNumber: | 5625959346 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 E 28TH ST STE 301 | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908062777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5624277275 | ||||||||
| FaxNumber: | 5625959346 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2006 | ||||||||
| LastUpdateDate: | 12/02/2019 | ||||||||
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| AuthorizedOfficialLastName: | NEOMAN | ||||||||
| AuthorizedOfficialFirstName: | AYMAN | ||||||||
| AuthorizedOfficialMiddleName: | I | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5624277275 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.