Provider Demographics
NPI:1245738194
Name:SOHEIL LAHIJANI M.D., A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:SOHEIL LAHIJANI M.D., A MEDICAL CORPORATION
Other - Org Name:CALIFORNIA FAMILY PLANNING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOHEIL
Authorized Official - Middle Name:SAUL
Authorized Official - Last Name:LAHIJANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-550-6886
Mailing Address - Street 1:2080 CENTURY PARK E STE 501
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2008
Mailing Address - Country:US
Mailing Address - Phone:310-550-6886
Mailing Address - Fax:
Practice Address - Street 1:1113 ALTA AVE STE 105
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-2803
Practice Address - Country:US
Practice Address - Phone:310-550-6886
Practice Address - Fax:310-550-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103147261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFM538YMedicaid
CACB287138Medicaid