Individual
EDWARD SAMOURJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 S AKERS ST STE 120, VISALIA, CA 93277-8306
(559) 625-4118
(559) 625-6004
Mailing address
2637 SHADELANDS DR, WALNUT CREEK, CA 94598-2512
(925) 948-8143
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A113601
CA
208D00000X
General Practice Physician
A113601
CA
390200000X
Student in an Organized Health Care Education/Training Program
LL1864
NV
Other
Enumeration date
06/24/2008
Last updated
07/19/2023
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