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General NPI Number Information
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NPI Number | 1215890983
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Entity Type | Organization
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Legal Business Name | SAMPLEX A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 3650 SOUTH ST STE 308
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City | LAKEWOOD
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State | CA
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Zip | 90712-1518
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Country | US
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Telephone | 562-633-2275
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Fax |
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Provider Business Mailing Address
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Address Line | 153 SPECKLED ALDER
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City | IRVINE
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State | CA
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Zip | 92618-1168
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. SAMER MOGHADDAM
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Credential | MD
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Telephone | 949-705-8485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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