Sam Sanandaji DPM

NPI 1063460616 - Podiatrist - 213ES0103X

NPI Details
NPI 1063460616
Gender Male
Enumeration Date 05/05/2006
Last Updated 12/10/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
8631 W 3RD ST
SUITE 303 E
LOS ANGELES CA, 90048-5901, US
Phone (310) 360-0001
Fax (310) 360-0135
Business Location
8631 W 3RD ST
SUITE 940 E
LOS ANGELES CA, 90048-5901, US
Phone (310) 360-0001
Fax (310) 360-0135
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E4652
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According to our database, Dr. Sam Sanandaji DPM NPI is 1063460616, taxonomy code is 213ES0103X and license number is E4652, license state is located at California. Sam Sanandaji DPM physically located at 8631 W 3rd St, Los Angeles CA, 90048-5901. NPI Number Sam Sanandaji DPM has the Individual type.

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1063460616 NPI number is provided on an as is basis without warranty of any kind. 1063460616 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Sanandaji DPM are for informational purposes only.