Agra, Samuel
Agra, Samuel is an individual health care provider with primary practice located at 1711 W Temple St 5606, Los Angeles CA 90026-5421. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Agra, Samuel can be contacted via phone (213) 989-6107.Contact Information
Primary practice address
1711 W Temple St 5606
Los Angeles CA 90026-5421
Phone: (213) 989-6107
Fax: (213) 483-5032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A54058 | California |
Profile Details
| NPI number | 1598719791 |
|---|---|
| LBN Legal business name | Agra, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Nov 6th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598719791 | NPPES |
| California | MEDICAID | 00A540581 |
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