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General NPI Number Information
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NPI Number | 1831167162
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Entity Type | Individual
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Provider Name | SAM H. HESSAMI MD
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Gender | Male
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Dates
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Enumeration Date | 03/11/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 3501 S HARBOR BLVD STE 200
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City | SANTA ANA
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State | CA
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Zip | 92704-6940
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Country | US
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Telephone | 949-284-4996
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Fax | 888-498-4129
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Provider Business Mailing Address
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Address Line | 400 N PEPPER AVE # 206
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City | COLTON
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State | CA
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Zip | 92324-1801
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Country | US
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Telephone | 909-580-2270
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Fax | 909-580-3289
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G149086
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 25MA06718800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 209108
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | G149086
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License Number State | CA
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