Organization
ADVANTAGE NEUROLOGY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED SAMIMI MD (OWNER)
(916) 821-8487
Entity
Organization
Contact information
Practice address
9108 LAGUNA MAIN ST STE 4, ELK GROVE, CA 95758-7450
(916) 821-8487
Mailing address
9108 LAGUNA MAIN ST STE 4, ELK GROVE, CA 95758-7450
(916) 821-8487
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A83265
CA
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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