Halpern, Samuel Elliot

Halpern, Samuel Elliot is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Halpern, Samuel Elliot can be contacted via phone (619) 543-6680.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9001
Fax: (619) 543-1975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X C28976 California
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X C28976 California
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X C28976 California

Profile Details

NPI number 1629000880
LBN Legal business name Halpern, Samuel Elliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629000880 NPPES
California MEDICAID 00C289760

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