Sohail Sam Mahboubian, M.D. a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A069412 Issued in CA

Legal business name

SOHAIL SAM MAHBOUBIAN, M.D. A PROFESSIONAL CORPORATION

Practice address

16133 Ventura Blvd Ste 415
Encino, CA 91436-2429

Phone

(818) 379-9991

Fax

(818) 995-0208

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sohail Sam Mahboubian, M.D.

Title

President

Phone

(818) 379-9991

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahab Mahboubian, D.O.

  • Orthopaedic Surgery Physician
  • North Hollywood, CA
  • NPI 1144439316
  NPD (past)
• Sherly Mahboubian Soleiman, MD

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1487858536
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1578743647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUITE #415",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362403",
            "telephone_number": "818-379-9991",
            "fax_number": "818-995-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD STE 415",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362429",
            "telephone_number": "818-379-9991",
            "fax_number": "818-995-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHAIL SAM MAHBOUBIAN, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "MAHBOUBIAN",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-379-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A069412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Scholars Licensed Educational Psychology Inc.
• Social Skills Training Academy Inc.
• Sohail Shayfer MD Inc
• Soheil Goel DDS a Professional Corporation
• Sahar Sohrabian, MD
• Bahar Mona Solasi, RD
• Mariana Solis

• Internal Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.