# SAMY METYAS, M.D., INC.

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

## Provider details

- **NPI number:** 1942309745
- **Authorized official:** DR. SAMY KAMAL METYAS M.D. (PRESIDENT)
- **Authorized official phone:** (626) 966-1909

## Contact information

- **Practice address:** 500 W SAN BERNARDINO RD STE A, COVINA, CA 91722-3797
- **Practice address phone:** (626) 966-1909
- **Practice address fax:** (626) 966-2629
- **Mailing address:** 500 W SAN BERNARDINO RD STE A, COVINA, CA 91722-3797
- **Mailing address phone:** (626) 966-1909
- **Mailing address fax:** (626) 966-2629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A72678 | CA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 12/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A726780 | — | CA |