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Individual

SAMUEL C NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
433 W. BASTANCHURY RD, FULLERTON, CA 92835
(714) 449-4800
(714) 449-4956
Mailing address
DEPT LA21190, PASADENA, CA 91185-1190
(714) 449-4800
(714) 449-4956

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A87094
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A87094
LICEINCE NUMBER
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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