Kipper, Samuel L
Kipper, Samuel L is an individual health care provider with primary practice located at 1100 N Tustin Ave Suite A, Santa Ana CA 92705-3509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Kipper, Samuel L can be contacted via phone (714) 835-6055.Contact Information
Primary practice address
1100 N Tustin Ave Suite A
Santa Ana CA 92705-3509
Phone: (714) 835-6055
Fax: (714) 285-9084
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | A34500 | California |
Profile Details
NPI number | 1265498836 |
---|---|
LBN Legal business name | Kipper, Samuel L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2006 |
Last updated | May 9th, 2014 - about 10 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 | 1265498836 | NPPES |
California | MEDICAID | 00A345000 | |
California | Other | 360004475 |
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