Individual
SAMAN GHALILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 S SAN PEDRO ST, LOS ANGELES, CA 90011-1125
(213) 745-8766
(213) 745-8704
Mailing address
2101 S SAN PEDRO ST, LOS ANGELES, CA 90011-1125
(213) 745-8766
(213) 745-8704
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A88734
CA
261QU0200X
Urgent Care Clinic/Center
A88734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A88734
—
CA
Enumeration date
07/01/2006
Last updated
07/09/2025
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