Organization
SAMUEL SEPUYA M.D. CORPORATION
Active
Organization
SAMUEL SEPUYA M.D. CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MUJABI SEPUYA M.D. (PRESIDENT)
(909) 882-1276
Entity
Organization
Contact information
Practice address
1780 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4618
(909) 882-1276
(909) 886-8330
Mailing address
1780 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4618
(909) 882-1276
(909) 886-8330
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A35525
CA
Other
Enumeration date
01/13/2011
Last updated
04/26/2011
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