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Organization
SAM BAKSHIAN MD A MEDICAL CORPORATION
Active
Organization
SAM BAKSHIAN MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BELLOSO (BILLER/COLLECTOR)
(310) 855-0751
Entity
Organization
Contact information
Practice address
6330 SAN VICENTE BLVD, SUITE 310, LOS ANGELES, CA 90048-5425
(310) 855-0751
(310) 657-6342
Mailing address
6330 SAN VICENTE BLVD, SUITE 310, LOS ANGELES, CA 90048-5425
(310) 855-0751
(310) 657-6342
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G77202
CA
Other
Enumeration date
04/28/2008
Last updated
01/30/2014
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