Organization Active NPI

Doheny Medical Group

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1871006031
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A103147 Issued in CA
Legal business name
DOHENY MEDICAL GROUP
Practice address
2080 Century Park E Ste 501
Los Angeles, CA 90067-2008
Phone
(310) 550-6886
NPI assigned
Nov 9, 2017
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Soheil Saul Lahijani
Title
Medical Director
Phone
(310) 550-6886

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A103147 CA Primary
Dermatology Physician 207N00000X A103147 CA

Addresses

Primary practice location

2080 Century Park E Ste 501
Los Angeles, CA 90067-2008

Mailing address

2080 Century Park E Ste 501
Los Angeles, CA 90067-2008
Phone (310) 550-6886

Other practice location 1

1113 Alta Ave Ste 105
Upland, CA 91786-2803
Phone (310) 550-6886

Other identifiers 1

IdentifierTypeStateIssuer
1992852784MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1871006031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672008",
            "telephone_number": "310-550-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672008",
            "telephone_number": "310-550-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Alta Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917862803",
            "country_code": "US",
            "telephone_number": "310-550-6886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOHENY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LAHIJANI",
        "authorized_official_first_name": "SOHEIL SAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-550-6886"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A103147",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A103147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992852784",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.