Niku, Soheil Daniel

Niku, Soheil Daniel is an individual health care provider with primary practice located at 2925 Sycamore Dr Suite 103, Simi Valley CA 93065-1208. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Niku, Soheil Daniel can be contacted via phone (805) 583-0944.

Contact Information

Primary practice address
2925 Sycamore Dr Suite 103 Simi Valley CA 93065-1208
Phone: (805) 583-0944
Fax: (805) 526-0417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G00079 California

Profile Details

NPI number 1114994274
LBN Legal business name Niku, Soheil Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 17th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114994274 NPPES
California MEDICAID 00G705800

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