Individual
MICHAEL A SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44139 MONTEREY AVE STE A, PALM DESERT, CA 92260-8700
(760) 779-0800
(760) 779-0801
Mailing address
800 FAIRMOUNT AVE, SUITE 312, PASADENA, CA 91105-3150
(626) 568-8838
(626) 583-8838
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35090825
OH
207W00000X
Ophthalmology Physician
A83237
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A83237
CA
Other
Enumeration date
09/26/2005
Last updated
04/05/2021
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