# SAMIMI ORTHOPEDIC GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780803080
- **Authorized official:** DR. BABAK SAMIMI MD (CFO)
- **Authorized official phone:** (626) 338-7391

## Contact information

- **Practice address:** 970 S VILLAGE OAKS DR STE 100, COVINA, CA 91724-3626
- **Practice address phone:** (800) 974-5633
- **Mailing address:** PO BOX 1628, WEST COVINA, CA 91793-1628
- **Mailing address phone:** (626) 338-7391
- **Mailing address fax:** (626) 814-8308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A043899 | CA | Yes |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | A043899 | CA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | A36076 | CA | — |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 09/06/2026