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Individual

SAMUEL JUSTIN SPIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
625 S FAIR OAKS AVE STE 280, PASADENA, CA 91105-2670
(626) 817-4747
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(650) 498-6205

Taxonomy

Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
A159963
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2017
Last updated
06/10/2021
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