Provider Demographics
NPI:1215003686
Name:NAJIBI, SOHEIL (MD, PHD)
Entity Type:Individual
Prefix:
First Name:SOHEIL
Middle Name:
Last Name:NAJIBI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 W BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2309
Mailing Address - Country:US
Mailing Address - Phone:818-842-4400
Mailing Address - Fax:818-842-4401
Practice Address - Street 1:2950 W BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2309
Practice Address - Country:US
Practice Address - Phone:818-842-4400
Practice Address - Fax:818-842-4401
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88147207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA88147OtherCA LICENSE
H99138Medicare UPIN
0H26225078Medicare ID - Type Unspecified