Provider Demographics
NPI:1235334376
Name:TALEBIMARANDI, SOHEYLA (MD)
Entity Type:Individual
Prefix:DR
First Name:SOHEYLA
Middle Name:
Last Name:TALEBIMARANDI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL
Mailing Address - Street 2:3853 ROSECRANS STREET
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110
Mailing Address - Country:UM
Mailing Address - Phone:619-692-8232
Mailing Address - Fax:619-542-4060
Practice Address - Street 1:3853 ROSECRANS STREET
Practice Address - Street 2:SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110
Practice Address - Country:US
Practice Address - Phone:619-692-8232
Practice Address - Fax:619-542-4060
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20070157372084P0800X
CAA1184602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry