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NPI Code Detail

MEDICARE: SHAHIN H SAMIMI MD

MEDICARE: SHAHIN H SAMIMI MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA35793CA

General Provider Information

NPI Number : 1477554335
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHIN H SAMIMI MD
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 2701 S BRISTOL ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-6201
Country : US
Telephone Number : 714-754-5454
Fax Number : 714-979-7284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 11/28/2012

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