Individual
ELLIE E SAMADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3737 MORAGA AVE, SUITE A105, SAN DIEGO, CA 92117-5404
(858) 273-0200
(858) 273-0619
Mailing address
3737 MORAGA AVE, SUITE A105, SAN DIEGO, CA 92117-5404
(858) 273-0200
(858) 273-0619
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83066
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G830660
—
CA
Enumeration date
01/10/2007
Last updated
12/21/2009
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