MEDICARE: DR. SAMI B HAMAMJI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	A49367	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A049367	OTHER	CA	CA LICENSE

General Provider Information

NPI Number	:	1457425282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMI B HAMAMJI M.D.

Provider Business Mailing Address
First Line	:	1010 W LA VETA AVE STE 775
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4306
Country	:	US
Telephone Number	:	714-541-5959
Fax Number	:	714-835-9550

Provider Business Practice Location Address
First Line	:	1010 W LA VETA AVE STE 775
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4306
Country	:	US
Telephone Number	:	714-541-5959
Fax Number	:	714-835-9550

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	03/30/2023

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