Healthcare Provider Details

I. General information

NPI: 1215003686
Provider Name (Legal Business Name): SOHEIL NAJIBI M.D., PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 W BURBANK BLVD
BURBANK CA
91505-2309
US

IV. Provider business mailing address

2950 W BURBANK BLVD
BURBANK CA
91505-2309
US

V. Phone/Fax

Practice location:
  • Phone: 818-842-4400
  • Fax: 818-842-4401
Mailing address:
  • Phone: 818-842-4400
  • Fax: 818-842-4401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA88147
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: