Organization
SAM SANANDAJI, DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM SANANDAJI DPM (OWNER)
(818) 693-4790
Entity
Organization
Contact information
Practice address
16952 VENTURA BLVD, SUITE # 100, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3967
Mailing address
16952 VENTURA BLVD, SUITE # 100, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3967
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4652
CA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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