| Samer Alaiti Md Inc | |
|
6200 Wilshire Blvd Suite 1502 Los Angeles CA 90048-5801 | |
| (323) 938-2626 | |
| (323) 938-2493 |
| Full Name | Samer Alaiti Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6200 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Samer Alaiti (PRESIDENT OWNNER) |
| Authorized Official Contact | 3239382626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samer Alaiti Md Inc 6200 Wilshire Blvd Suite 1502 Los Angeles CA 90048-5801 Ph: (323) 938-2626 | Samer Alaiti Md Inc 6200 Wilshire Blvd Suite 1502 Los Angeles CA 90048-5801 Ph: (323) 938-2626 |
| NPI Number | 1346300613 |
|---|---|
| Provider Enumeration Date | 12/09/2006 |
| Last Update Date | 06/27/2013 |
| Medicare PECOS PAC ID | 3173602646 |
|---|---|
| Medicare Enrollment ID | O20080508000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346300613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A51530 (California) | Primary |
| Provider Name | Samer Alaiti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1770591802 PECOS PAC ID: 5698854156 Enrollment ID: I20080508000546 |
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