Individual
DR. SAM A. SAMIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1165 N EUCLID ST, ANAHEIM, CA 92801-1938
(714) 991-9990
(714) 991-9496
Mailing address
10004 KENNERLY ROAD, SUITE 210 ,BUILDING A.., ST.LOUIS, MO 64128-5116
(314) 842-3525
(314) 842-3337
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35768
MO
207N00000X
Dermatology Physician
Primary
A38169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202384400
—
MO
Enumeration date
09/20/2006
Last updated
12/13/2022
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