Foothill Surgical Specialists Medical Group

NPI 1760525752 - Surgery - 2086S0129X

NPI Details
NPI 1760525752
Enumeration Date 02/15/2007
Last Updated 01/08/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SAMUEL H. SAMUEL
Position PRESIDENT/MD
Phone (818) 243-1135
Fax (818) 243-9332
Practice Location
1560 E. CHEVY CHASE DR.
SUITE 430
GLENDALE CA, 91206-4197, US
Phone (818) 243-1135
Fax (818) 243-9332
Business Location
1560 E. CHEVY CHASE DR.
SUITE 430
GLENDALE CA, 91206-4197, US
Phone (818) 243-1135
Fax (818) 243-9332
Toxanomy
Taxonomy Code 2086S0129X
License State
License Number
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According to our database, Foothill Surgical Specialists Medical Group NPI is 1760525752, taxonomy code is 2086S0129X Foothill Surgical Specialists Medical Group physically located at 1560 E. Chevy Chase Dr., Glendale CA, 91206-4197. NPI Number 1033115704 has the healthcare provider type.

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1760525752 NPI number is provided on an as is basis without warranty of any kind. 1760525752 is maintained by the National Plan & Provider Enumeration System. The contents of Foothill Surgical Specialists Medical Group are for informational purposes only.