Provider Demographics
NPI:1902329931
Name:SOLEYMANI, SOHEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SOHEIL
Middle Name:
Last Name:SOLEYMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8797 BEVERLY BLVD STE 315
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1862
Mailing Address - Country:US
Mailing Address - Phone:310-659-0123
Mailing Address - Fax:310-659-7780
Practice Address - Street 1:8797 BEVERLY BLVD STE 315
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1862
Practice Address - Country:US
Practice Address - Phone:310-659-0123
Practice Address - Fax:310-659-7780
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA153106207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine