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Individual

SAM POURBABAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
23331 EL TORO RD, 102, LAKE FOREST, CA 92630-4891
(949) 916-9100
(949) 916-0091
Mailing address
23331 EL TORO RD, 102, LAKE FOREST, CA 92630-4891
(949) 916-9100
(949) 916-0091

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A94699
CA

Other

Enumeration date
03/30/2006
Last updated
04/03/2013
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