Soul Street Medicine, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

SOUL STREET MEDICINE, INC.

Practice address

801 W 70TH St
Los Angeles, CA 90044-5218

Phone

(855) 669-1900

Fax

(323) 983-4323

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Roman Rozhansky

Title

President

Phone

(855) 669-1900

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1114755139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S FAIRFAX AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362186",
            "telephone_number": "855-669-1900",
            "fax_number": "323-983-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W 70TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900445218",
            "telephone_number": "855-669-1900",
            "fax_number": "323-983-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL STREET MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "ROZHANSKY",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-669-1900"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Negin Torfeh Soufi Siavash, PHARMD
• Harmik J Soukiasian, M.D.
• Soul Aligned Health & Wellness LLC
• Soul Collective Therapy
• Soul Enrichment Ministries Inc.
• Coby Soule
• Serko Soultanian, PHARMD
• Lisa Soumekh
• Rachel Soumekh
• Soung Hoon Cho DDS. Inc

• Respite Care in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Respite Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.