Organization
SAM VAZIRI VANCE INC.
Active
Other names
Sama
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALINA KIEVSKY NP-C (VP)
(310) 600-0097
Entity
Organization
Contact information
Practice address
7119 1/2 W SUNSET BLVD FL 2, LOS ANGELES, CA 90046-4411
(310) 600-0097
Mailing address
7119 1/2 W SUNSET BLVD FL 2, LOS ANGELES, CA 90046-4411
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PG0041887001
BLUE SHIELD
CA
Enumeration date
01/31/2022
Last updated
01/31/2022
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