Individual
KIAN J SAMIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 4TH AVE, SUITE 200, SAN DIEGO, CA 92101-6970
(619) 232-3040
(619) 232-3041
Mailing address
711 4TH AVE, SUITE 200, SAN DIEGO, CA 92101-6970
(619) 232-3040
(619) 232-3041
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
25504
AZ
208200000X
Plastic Surgery Physician
Primary
A050365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390534
—
AZ
Enumeration date
06/13/2006
Last updated
07/08/2007
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