Boctor, Samia A
Boctor, Samia A is an individual health care provider with primary practice located at 18111 Nordhoff St , Northridge CA 91330-8270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Boctor, Samia A can be contacted via phone (818) 677-3666.Contact Information
Primary practice address
18111 Nordhoff St
Northridge CA 91330-8270
Phone: (818) 677-3666
Fax: (818) 677-2304
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A35122 | California |
Profile Details
NPI number | 1649467796 |
---|---|
LBN Legal business name | Boctor, Samia A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2007 |
Last updated | Oct 2nd, 2007 - about 18 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 | 1649467796 | NPPES |
California | Other | EXE7010F | MEDI-CAL |
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