Samimi, Sam A.

Samimi, Sam A. is an sole proprietor health care provider with primary practice located at 1165 N Euclid St , Anaheim CA 92801-1938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Samimi, Sam A. can be contacted via phone (714) 991-9990.

Contact Information

Primary practice address
1165 N Euclid St Anaheim CA 92801-1938
Fax: (714) 991-9496
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35768 Missouri
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A38169 California

Profile Details

NPI number 1093813347
LBN Legal business name Samimi, Sam A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Dec 13th, 2022 - about 2 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 1093813347 NPPES
Missouri MEDICAID 202384400

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