Organization
CHRISTOJOHN SAMUEL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOJOHN SAMUEL MD (PRESIDENT)
(818) 365-1668
Entity
Organization
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 365-1668
(818) 365-1189
Mailing address
PO BOX 950186, MISSION HILLS, CA 91395-0186
(818) 365-1668
(818) 365-1189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C42242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C422420
—
CA
Enumeration date
07/26/2005
Last updated
12/13/2019
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