Individual
DR. SAMUEL EJADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 THE CITY DR S RM 240, ORANGE, CA 92868-3201
(714) 456-8000
(714) 456-2242
Mailing address
101 THE CITY DR S BLDG. 56 RM. 240, ORANGE, CA 92868-3201
(714) 456-8000
(714) 456-7142
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
228707
NY
207RX0202X
Medical Oncology Physician
25MA07608600
NJ
207RX0202X
Medical Oncology Physician
36682
AZ
207RX0202X
Medical Oncology Physician
Primary
C55259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231941
—
AZ
01
—
P00413300
RAILROAD MEDICARE
AZ
Enumeration date
01/28/2006
Last updated
06/06/2018
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