Carvajal, Samuel H.
Carvajal, Samuel H. is an sole proprietor health care provider with primary practice located at 1560 E Chevy Chase Dr #430, Glendale CA 91206-4197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carvajal, Samuel H. can be contacted via phone (818) 243-1135.Contact Information
Primary practice address
1560 E Chevy Chase Dr #430
Glendale CA 91206-4197
Phone: (818) 243-1135
Fax: (818) 243-9332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G71371 | California |
Profile Details
| NPI number | 1932205721 |
|---|---|
| LBN Legal business name | Carvajal, Samuel H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | May 2nd, 2012 - about 12 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 | 1932205721 | NPPES |
| California | MEDICAID | GR0017450 |
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