Ladan K. Samadi, M.d. Inc. | |
27420 Tourney Rd Suite 220 Valencia CA 91355-5601 | |
(661) 259-9979 | |
(661) 259-1262 |
Full Name | Ladan K. Samadi, M.d. Inc. |
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Speciality | Internal Medicine |
Location | 27420 Tourney Rd, Valencia, California |
Authorized Official Name and Position | Ladan Khandabi Samadi (HEAD DOCTOR) |
Authorized Official Contact | 6612599979 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ladan K. Samadi, M.d. Inc. Po Box 55036 Valencia CA 91385-0036 Ph: (661) 259-9979 | Ladan K. Samadi, M.d. Inc. 27420 Tourney Rd Suite 220 Valencia CA 91355-5601 Ph: (661) 259-9979 |
NPI Number | 1780785956 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 01/15/2010 |
Medicare PECOS PAC ID | 0143366245 |
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Medicare Enrollment ID | O20091002000455 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780785956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A61255 (California) | Primary |
Provider Name | Ladan K Samadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801826748 PECOS PAC ID: 2961300793 Enrollment ID: I20031230000601 |
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