Individual
DR. ADEL FAHMY SAMAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2118 WILSHIRE BLVD, STE 1002, SANTA MONICA, CA 90403-5704
(310) 914-0130
(818) 907-6157
Mailing address
2118 WILSHIRE BLVD, STE 1002, SANTA MONICA, CA 90403-5704
(310) 914-0130
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A38660
CA
208D00000X
General Practice Physician
A38660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A38660
MEDI-CAL
CA
05
—
2275017
—
CA
Enumeration date
07/20/2006
Last updated
05/28/2021
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