Active NPI
Doheny Medical Group
- Specialist
- Los Angeles, CA
National Provider Identifier
1871006031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A103147
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992852784 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.