Individual
SAMUEL L KIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 N TUSTIN AVE, SUITE A, SANTA ANA, CA 92705-3509
(714) 835-6055
(714) 285-9084
Mailing address
PO BOX 6279, INDIANAPOLIS, IN 46206-6279
(866) 727-1072
(800) 508-4751
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
A34500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A345000
—
CA
01
—
360004475
RAILROAD MEDICARE
—
Enumeration date
04/24/2006
Last updated
05/09/2014
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