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Organization
SAMRA MEDICAL GROUP INC
Active
Organization
SAMRA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALIL RASHTI M.D. (MEDICAL DIRECTOR)
(818) 386-1823
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD., SUITE 701, ENCINO, CA 91436-1987
(818) 386-1823
(818) 907-0255
Mailing address
16661 VENTURA BLVD., SUITE 701, ENCINO, CA 91436-1987
(818) 386-1823
(818) 907-0255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A048983
CA
Other
Enumeration date
10/22/2010
Last updated
05/11/2011
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