Individual
DR. PEGAH SAMOUHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
8631 W 3RD ST, LOS ANGELES, CA 90048-5901
(310) 657-2828
Mailing address
16661 VENTURA BLVD, STE 705, ENCINO, CA 91436-1990
(818) 789-7891
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5404
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL6732
CA
Other
Enumeration date
09/07/2016
Last updated
11/02/2021
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