Individual
HAIDY SAMAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1671 W KATELLA AVE STE 245, ANAHEIM, CA 92802-3053
(949) 549-1500
Mailing address
289 S OWENS DR, ANAHEIM, CA 92808-1327
(949) 549-1500
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558041103
NPI
CA
Enumeration date
07/19/2023
Last updated
01/12/2026
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