Organization
DOHENY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOHEIL SAUL LAHIJANI (MEDICAL DIRECTOR)
(310) 550-6886
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 501, LOS ANGELES, CA 90067-2008
(310) 550-6886
Mailing address
2080 CENTURY PARK E STE 501, LOS ANGELES, CA 90067-2008
(310) 550-6886
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A103147
CA
207N00000X
Dermatology Physician
A103147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992852784
—
CA
Enumeration date
11/09/2017
Last updated
09/19/2025
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