Individual
SAMEH GHATTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 338-8000
Mailing address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
A114099
CA
208M00000X
Hospitalist Physician
Primary
A114099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A114099
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
08/27/2008
Last updated
03/07/2023
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