Organization
FRED R SAMIMI, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED R SAMIMI MD (PRESIDENT)
(209) 575-4575
Entity
Organization
Contact information
Practice address
8765 CENTER PKWY, #D, SACRAMENTO, CA 95823-7682
(209) 575-4575
Mailing address
PO BOX 4398, MODESTO, CA 95352-4398
(209) 575-4575
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A83265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A832650
—
CA
Enumeration date
02/07/2007
Last updated
08/22/2020
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