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Organization

SAM SANANDAJI, DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAM SANANDAJI DPM (PODIATRIST)
(818) 789-7891
Entity
Organization

Contact information

Practice address
16661 VENTURA BLVD, SUITE 705, ENCINO, CA 91436-1914
(818) 789-7891
(818) 789-7912
Mailing address
16661 VENTURA BLVD, SUITE 705, ENCINO, CA 91436-1914
(818) 789-7891
(818) 789-7912

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E4652
CA

Other

Enumeration date
12/20/2007
Last updated
12/20/2007
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