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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1265498836 NPPES
California MEDICAID 00A345000
California Other 360004475

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