| Farzin Samadi, Md A Professional Corporation | |
|
8631 W 3rd St 540e Los Angeles CA 90048 | |
| (310) 308-3500 | |
| Not Available |
| Full Name | Farzin Samadi, Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 8631 W 3rd St, Los Angeles, California |
| Authorized Official Name and Position | Farzin Samadi (PRESIDENT) |
| Authorized Official Contact | 3103083500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farzin Samadi, Md A Professional Corporation Po Box 241424 Los Angeles CA 90024-9224 Ph: (310) 308-3500 | Farzin Samadi, Md A Professional Corporation 8631 W 3rd St 540e Los Angeles CA 90048 Ph: (310) 308-3500 |
| NPI Number | 1326235334 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 4880594738 |
|---|---|
| Medicare Enrollment ID | O20040108001238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326235334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A66095 (California) | Primary |
| Provider Name | Farzin Samadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336197409 PECOS PAC ID: 6608776554 Enrollment ID: I20040112000325 |
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