| Saman Setareh-shenas, Md Inc. A Professional Medical Corporation | |
|
8631 W 3rd St Ste 540e Los Angeles CA 90048-5901 | |
| (424) 279-3990 | |
| Not Available |
| Full Name | Saman Setareh-shenas, Md Inc. A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 8631 W 3rd St Ste 540e, Los Angeles, California |
| Authorized Official Name and Position | Saman Setareh-shenas (PRESIDENT) |
| Authorized Official Contact | 3106307286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saman Setareh-shenas, Md Inc. A Professional Medical Corporation 725 S Barrington Ave Apt 203 Los Angeles CA 90049-4585 Ph: (310) 630-7286 | Saman Setareh-shenas, Md Inc. A Professional Medical Corporation 8631 W 3rd St Ste 540e Los Angeles CA 90048-5901 Ph: (424) 279-3990 |
| NPI Number | 1528786977 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 8820465925 |
|---|---|
| Medicare Enrollment ID | O20221102001708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528786977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Saman Setareh-shenas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194111799 PECOS PAC ID: 6204234776 Enrollment ID: I20211013003200 |
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