Soheila Khajavi, M.D. Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A44214 Issued in CA

Legal business name

SOHEILA KHAJAVI, M.D. MEDICAL CORPORATION

Practice address

32118 Paseo Adelanto
Suite 6Ar
San Juan Capistrano, CA 92675-3627

Phone

(949) 240-1319

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Soheila Khajavi, M.D.

Title

President

Phone

(949) 240-1319

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003959776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32118 PASEO ADELANTO",
            "address_2": "SUITE 6AR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32118 PASEO ADELANTO",
            "address_2": "SUITE 6AR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753627",
            "telephone_number": "949-240-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEILA KHAJAVI, M.D. MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAJAVI",
        "authorized_official_first_name": "SOHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-240-1319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Jane Smith
• Sydney Smith
• Angela Sobba, AMFT
• Sobertec LLC
• Sobriety Services, Inc. (Southcoast Recovery)
• Roger C Sohn Jr., MD
• Solutions Counseling & Family Therapy
• Solutions for Recovery, Inc
• Janet Jo Sonnier
• Yen-Hui Matthew Soong, M.D.

• Psychiatry Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.