Ejadi, Samuel
Ejadi, Samuel is an individual health care provider with primary practice located at 101 The City Dr S Rm 240 , Orange CA 92868-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Ejadi, Samuel can be contacted via phone (714) 456-8000.Contact Information
Primary practice address
101 The City Dr S Rm 240
Orange CA 92868-3201
Phone: (714) 456-8000
Fax: (714) 456-2242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 228707 | New York |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 36682 | Arizona |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 25MA07608600 | New Jersey |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | C55259 | California |
Profile Details
| NPI number | 1285605212 |
|---|---|
| LBN Legal business name | Ejadi, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jun 6th, 2018 - about 6 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 | 1285605212 | NPPES |
| Arizona | Other | P00413300 | RAILROAD MEDICARE |
| Arizona | MEDICAID | 231941 | RAILROAD MEDICARE |
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