Provider / Organization | NPI | Date Certified |
---|---|---|
SOHRAB PAHLAVAN | 1932499332 | 2011-04-19 |
Sohrab Pahlavan [M] graduated in 2011 and primarily specializes in Orthopedic Surgery.
Sohrab Pahlavan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932499332. Registration indicates Sohrab Pahlavan is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Orthopaedic Surgery (Orthopaedic Surgery: Orthopaedic Surgery of the Spine, ) (Specialist Network, ) (Orthopaedic Surgery Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians) (Orthopaedic Surgery, )
PECOS ID | 9335457100 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Sohrab Pahlavan M.D. |
Practice Office Address | 275 HOSPITAL PKWY FL 3 SAN JOSE, CA US |
Practice Office Telephone | 4089726100 |
Mailing Address | 275 HOSPITAL PKWY FL 3 SAN JOSE, CA 951191106 US |
Business Telephone | 4083634896 |
Address | City / State | Phone / Fax |
---|---|---|
3901 Las Posas Rd Ste 4 | Camarillo, CA 930101502 | 8055855166 / 8053831786 |
2525 Erringer Rd | Simi Valley, CA 930652352 | 8055271404 / 8055275246 |
Carequality [C-CDA] | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
CONNECT URL [] | https://venturaortho.com/ |
Code | Practice | License No State |
---|---|---|
207XS0117X PRIMARY | Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery: Orthopaedic Surgery of the Spine Specialist Network Orthopaedic Surgery Orthopaedic Surgery of the Spine Allopathic & Osteopathic Physicians Orthopaedic Surgery | A121930
CA |
A121930 | OTHER | CA | STATE LICENSE |