Individual
DR. SAMUEL H. CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1560 E CHEVY CHASE DR, #430, GLENDALE, CA 91206-4197
(818) 243-1135
(818) 243-9332
Mailing address
1560 E. CHEVY CHASE DR., SUITE 430, GLENDALE, CA 91206-4197
(818) 243-1135
(818) 243-9332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G71371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0017450
—
CA
Enumeration date
09/16/2006
Last updated
05/02/2012
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