| Samuel W. Kaufman, M.d., Inc. | |
|
4515 Orchard St Montclair CA 91763-3102 | |
| (909) 946-2801 | |
| (909) 946-3247 |
| Full Name | Samuel W. Kaufman, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4515 Orchard St, Montclair, California |
| Authorized Official Name and Position | Eileen Vrieze (BILLER) |
| Authorized Official Contact | 9099462801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel W. Kaufman, M.d., Inc. Po Box 996 Upland CA 91785-0996 Ph: (909) 946-2801 | Samuel W. Kaufman, M.d., Inc. 4515 Orchard St Montclair CA 91763-3102 Ph: (909) 946-2801 |
| NPI Number | 1063744530 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 02/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063744530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A28426 (California) | Primary |
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