| Organization Name: | LAHIJI MEDICAL INC |
| NPI Number: | 1013214972 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PARVIZ ASHER LAHIJI (PHYSICIAN/PRESIDENT) |
| Mailing Address: | 16311 Ventura Blvd Suite 907 Encino |
| State: | CA US |
| Postal Code: | 914362124 |
| Phone Number: | 8189077070 |
| Fax Number: | 8189077157 |
| NPI Enumeration Date: | 02/11/2011 |
| NPI Last Update Date: | 02/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | A42614 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |