| Soheila Khajavi, M.d. Medical Corporation | |
|
32118 Paseo Adelanto Suite 6ar San Juan Capistrano CA 92675-3627 | |
| (949) 240-1319 | |
| Not Available |
| Full Name | Soheila Khajavi, M.d. Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 32118 Paseo Adelanto, San Juan Capistrano, California |
| Authorized Official Name and Position | Soheila Khajavi (PRESIDENT) |
| Authorized Official Contact | 9492401319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soheila Khajavi, M.d. Medical Corporation 32118 Paseo Adelanto Suite 6ar San Juan Capistrano CA 92675-3627 Ph: () - | Soheila Khajavi, M.d. Medical Corporation 32118 Paseo Adelanto Suite 6ar San Juan Capistrano CA 92675-3627 Ph: (949) 240-1319 |
| NPI Number | 1003959776 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003959776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A44214 (California) | Primary |
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