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General NPI Number Information
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NPI Number | 1326235334
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Entity Type | Organization
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Legal Business Name | FARZIN SAMADI, MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 8631 W 3RD ST 540E
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 310-308-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 241424
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City | LOS ANGELES
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State | CA
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Zip | 90024-9224
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Country | US
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Telephone | 310-308-3500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FARZIN SAMADI
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Credential | M.D.
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Telephone | 310-308-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A66095
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License Number State | CA
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