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Organization

SAMAN GHALILI MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMAN GHALILI MD (CEO)
(213) 749-7110
Entity
Organization

Contact information

Practice address
2101 S SAN PEDRO ST, LOS ANGELES, CA 90011-1125
(213) 745-8766
Mailing address
2101 S SAN PEDRO ST, LOS ANGELES, CA 90011-1125
(213) 745-8766

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A88734
CA
208D00000X
General Practice Physician
Primary
A88734
CA
261QU0200X
Urgent Care Clinic/Center
A88734
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A887340
CA
Enumeration date
05/17/2011
Last updated
10/30/2013
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