| Fred R. Samimi, M.d., A Professional Corporation | |
|
9108 Laguna Main St Suite 4 Elk Grove CA 95758-7450 | |
| (916) 990-2828 | |
| (866) 728-8816 |
| Full Name | Fred R. Samimi, M.d., A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 9108 Laguna Main St, Elk Grove, California |
| Authorized Official Name and Position | Fred R. Samimi (PRESIDENT) |
| Authorized Official Contact | 9169902828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred R. Samimi, M.d., A Professional Corporation 11230 Gold Express Dr Suite 310-372 Gold River CA 95670-4484 Ph: (916) 572-8172 | Fred R. Samimi, M.d., A Professional Corporation 9108 Laguna Main St Suite 4 Elk Grove CA 95758-7450 Ph: (916) 990-2828 |
| NPI Number | 1083702906 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083702906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A83265 (California) | Primary |
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