Kaufman, Samuel W
Kaufman, Samuel W is an sole proprietor health care provider with primary practice located at 825 Trinity Ln , Claremont CA 91711-2957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kaufman, Samuel W can be contacted via phone (909) 946-2801.Contact Information
Primary practice address
825 Trinity Ln
Claremont CA 91711-2957
Phone: (909) 946-2801
Fax: (909) 946-3247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A28426 | California |
Profile Details
| NPI number | 1790811610 |
|---|---|
| LBN Legal business name | Kaufman, Samuel W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Apr 20th, 2021 - about 4 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 | 1790811610 | NPPES |
| California | MEDICAID | 00A284260 |
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