Samuel Im M.D.

NPI 1790839496 - Obstetrics & Gynecology - 207VX0201X

NPI Details
NPI 1790839496
Gender Male
Enumeration Date 01/22/2007
Last Updated 10/12/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
12462 PUTNAM ST
SUITE 303
WHITTIER CA, 90602-1048, US
Phone (562) 900-1012
Fax (562) 789-4440
Business Location
PO BOX 4316
CERRITOS CA, 90703-4316, US
Phone (562) 900-1012
Fax (562) 789-4440
Toxanomy
Taxonomy Code 207VX0201X
License State California
License Number A71341
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According to our database, Samuel Im M.D. NPI is 1790839496, taxonomy code is 207VX0201X and license number is A71341, license state is located at California. Samuel Im M.D. physically located at 12462 Putnam St, Whittier CA, 90602-1048. NPI Number Samuel Im M.D. has the Individual type.

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1790839496 NPI number is provided on an as is basis without warranty of any kind. 1790839496 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Im M.D. are for informational purposes only.