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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932205721 NPPES
California MEDICAID GR0017450

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