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NPI Code Detail

MEDICARE: SAMAN ABOUDI MD

MEDICARE: SAMAN ABOUDI 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
1207Q00000XFamily Medicine PhysicianA94832CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A94832OTHERCACA MD LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831112820
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMAN ABOUDI MD
Provider Business Mailing Address
First Line : 3110 CHINO AVE STE 150B
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-1295
Country : US
Telephone Number : 909-630-7868
Fax Number : 909-469-2109
Provider Business Practice Location Address
First Line : 3110 CHINO AVE STE 150B
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-1295
Country : US
Telephone Number : 909-630-7868
Fax Number : 909-469-2109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 03/07/2023

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Directions to “ SAMAN ABOUDI MD” Practice Location

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