Individual
SAMUEL ASANAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 SAN PABLO ST, LOS ANGELES, CA 90033-5331
(323) 442-6335
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A195274
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
195274
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2020
Last updated
08/20/2024
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