Individual
JOSHUA JOHN SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 TELEGRAPH AVE STE 120, BERKELEY, CA 94705-1159
(510) 504-1844
(510) 273-8911
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-1844
(510) 273-8911
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1096951
CA
207RP1001X
Pulmonary Disease Physician
Primary
1096951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A162932
STATE MEDICAL LICENSE
CA
Enumeration date
04/04/2013
Last updated
12/21/2021
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