Provider Demographics
NPI:1063831923
Name:SOUDANI INSURANCE AGENCY
Entity Type:Organization
Organization Name:SOUDANI INSURANCE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUDANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-383-4940
Mailing Address - Street 1:6700 FALLBROOK AVE # 193A
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3530
Mailing Address - Country:US
Mailing Address - Phone:818-857-5172
Mailing Address - Fax:866-540-8893
Practice Address - Street 1:6700 FALLBROOK AVE # 193A
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3530
Practice Address - Country:US
Practice Address - Phone:818-857-5172
Practice Address - Fax:866-540-8893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0D50790251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage