Organization
SAMUEL L. KIPPER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL L KIPPER M.D. (CEO)
(949) 285-1506
Entity
Organization
Contact information
Practice address
28492 CALLE PINON, SAN JUAN CAPISTRANO, CA 92675-5803
(949) 285-1506
Mailing address
28492 CALLE PINON, SAN JUAN CAPISTRANO, CA 92675-5803
(949) 285-1506
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
A34500
CA
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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