Individual
SAMY S FARAG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N VERMONT AVE, #610, LOS ANGELES, CA 90027
(323) 665-5600
(323) 665-8500
Mailing address
PO BOX 781, LA CANADA, CA 91012
(323) 665-5600
(323) 665-8500
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A25821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A258210
—
CA
Enumeration date
02/22/2006
Last updated
07/08/2007
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