Individual
MOUSTAPHA ABOU-SAMRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168 N BRENT ST, STE 408, VENTURA, CA 93003-2824
(805) 643-2179
(805) 643-0672
Mailing address
168 N BRENT ST, STE 408, VENTURA, CA 93003-2824
(805) 643-2179
(805) 643-0672
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A36688
CA
Other
Enumeration date
09/08/2005
Last updated
05/19/2015
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