Loredo, Samuel

Loredo, Samuel is an individual health care provider with primary practice located at 139 West El Portal Drive Suite A, Merced CA 95348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Loredo, Samuel can be contacted via phone (209) 722-2716.

Contact Information

Primary practice address
139 West El Portal Drive Suite A Merced CA 95348
Phone: (209) 722-2716
Fax: (209) 722-2767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G55263 California

Profile Details

NPI number 1164532958
LBN Legal business name Loredo, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 7th, 2023 - about last year

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 1164532958 NPPES
Arkansas MEDICAID 00G552631

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