Organization
SAMY FARAG, M.D. MEDICAL GROUP, MC
Active
Organization
SAMY FARAG, M.D. MEDICAL GROUP, MC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMY S FARAG MD (OWNER)
(323) 665-5600
Entity
Organization
Contact information
Practice address
4430 SANTA MONICA BLVD, SUITE 101, LOS ANGELES, CA 90029-2014
(323) 665-5600
(323) 665-8500
Mailing address
PO BOX 781, LA CANADA, CA 91012-0781
(323) 665-5600
(323) 665-8500
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A25821
CA
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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