Individual
DR. DIBA K SAMENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
393 E WALNUT ST, PASADENA, CA 91188-0001
(888) 505-0043
Mailing address
393 E WALNUT ST, PASADENA, CA 91188-0001
(888) 505-0043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A90861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A908610
MEDICAL PPIN #
CA
Enumeration date
06/09/2006
Last updated
12/21/2021
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