Individual
DR. SAMUEL ASSAD AMIN IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79180 CORPORATE CENTER DR, STE 101, LA QUINTA, CA 92253-7235
(760) 837-7910
(760) 837-7920
Mailing address
79180 CORPORATE CENTER DR, STE 101, LA QUINTA, CA 92253-7235
(760) 837-7910
(760) 837-7920
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.121784
OH
Other
Enumeration date
04/22/2008
Last updated
04/18/2016
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