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NPI Code Detail

MEDICARE: CHRISTOJOHN SAMUEL MD INC

MEDICARE: CHRISTOJOHN SAMUEL MD INC
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
1208600000XSurgery PhysicianC42242CA

Other Identifiers

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

General Provider Information

NPI Number : 1851391544
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTOJOHN SAMUEL MD INC
Provider Business Mailing Address
First Line : PO BOX 950186
Second Line :
City : MISSION HILLS
State : CA
Zip : 91395-0186
Country : US
Telephone Number : 818-365-1668
Fax Number : 818-365-1189
Provider Business Practice Location Address
First Line : 18300 ROSCOE BLVD
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-4105
Country : US
Telephone Number : 818-365-1668
Fax Number : 818-365-1189
Authorized Official
Title or Position : PRESIDENT
Name : MR. CHRISTOJOHN SAMUEL
Credential : MD
Telephone Number : 818-365-1668
Provider Enumeration Date : 07/26/2005
Last Update Date : 12/13/2019

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Directions to “CHRISTOJOHN SAMUEL MD INC ” Practice Location

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