Samuels, Bruce A

Samuels, Bruce A is an individual health care provider with primary practice located at 414 N Camden Dr Ste 1100, Beverly Hills CA 90210-4532. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Samuels, Bruce A can be contacted via phone (310) 278-3400.

Contact Information

Primary practice address
414 N Camden Dr Ste 1100 Beverly Hills CA 90210-4532
Phone: (310) 278-3400
Fax: (310) 278-1240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G67315 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G67315 California

Profile Details

NPI number 1083686372
LBN Legal business name Samuels, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Dec 14th, 2009 - about 15 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 1083686372 NPPES
California MEDICAID 00G673150

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