Healthcare Provider Details

I. General information

NPI: 1235547282
Provider Name (Legal Business Name): LJS PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 12/17/2023
Certification Date: 12/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5119 CORAL ST
PITTSBURGH PA
15224-1727
US

IV. Provider business mailing address

5119 CORAL ST
PITTSBURGH PA
15224-1727
US

V. Phone/Fax

Practice location:
  • Phone: 412-879-0448
  • Fax:
Mailing address:
  • Phone: 412-879-0448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD450729
License Number StatePA

VIII. Authorized Official

Name: DR. LOREN J SOBEL
Title or Position: OWNER
Credential: M.D.
Phone: 412-879-0448