Individual
SAMUEL S. MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1663 DOMINICAN WAY, SUITE 212, SANTA CRUZ, CA 95065-1527
(831) 475-5375
(831) 475-7229
Mailing address
1663 DOMINICAN WAY, SUITE 212, SANTA CRUZ, CA 95065-1527
(831) 475-5375
(831) 475-7229
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G55792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G557920
—
CA
Enumeration date
01/26/2007
Last updated
12/17/2007
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