Individual
SAMUEL IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12462 PUTNAM ST, SUITE 303, WHITTIER, CA 90602-1048
(562) 900-1012
(562) 789-4440
Mailing address
PO BOX 4316, CERRITOS, CA 90703-4316
(562) 900-1012
(562) 789-4440
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
A71341
CA
Other
Enumeration date
01/22/2007
Last updated
10/12/2011
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