Mogul, Samuel Alan
Mogul, Samuel Alan is an individual health care provider with primary practice located at 30031 Desert Rose Dr , Castaic CA 91384-3599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mogul, Samuel Alan can be contacted via phone (661) 476-8799.Contact Information
Primary practice address
30031 Desert Rose Dr
Castaic CA 91384-3599
Phone: (661) 476-8799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G40018 | California |
Profile Details
| NPI number | 1427050533 |
|---|---|
| LBN Legal business name | Mogul, Samuel Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 8th, 2023 - about 3 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 | 1427050533 | NPPES |
| California | MEDICAID | 00G40018 |
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