Baroudi, Sam

Baroudi, Sam is an individual health care provider with primary practice located at 1926 Via Ctr , Vista CA 92081-6056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Baroudi, Sam can be contacted via phone (760) 940-7000.

Contact Information

Primary practice address
1926 Via Ctr Vista CA 92081-6056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A67327 California

Profile Details

NPI number 1316936933
LBN Legal business name Baroudi, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Sep 15th, 2019 - about 5 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 1316936933 NPPES
California Other CB231242 MEDICARE
California Other P00174334 MEDICARE

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