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Individual

SAMUEL PAUL HASLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MOODY CT STE 200, THOUSAND OAKS, CA 91360-6082
(805) 418-3500
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A184861
CA
207RP1001X
Pulmonary Disease Physician
Primary
A184861
CA

Other

Enumeration date
05/18/2017
Last updated
08/01/2023
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