# SAMER KANAAN MD A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1992231112
- **Authorized official:** LINA KANAAN (MD)
- **Authorized official phone:** (269) 910-8058

## Contact information

- **Practice address:** 27451 LOS ALTOS, SUITE 290, MISSION VIEJO, CA 92691
- **Practice address phone:** (949) 444-5864
- **Practice address fax:** (949) 258-5863
- **Mailing address:** 30732 PASEO ELEGANCIA, SAN JUAN CAPO, CA 92675-5426
- **Mailing address phone:** (269) 910-8059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A87174 | CA | Yes |

## Other

- **Enumeration date:** 05/08/2017
- **Last updated:** 05/08/2017