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Samuel W. Kaufman, M.D., INC.

Psychiatry & Neurology, Psychiatry in Montclair, CA. Organization (NPI-2).

NPI number1063744530
StatusActive
Last updated in NPPESFeb 8, 2010

Details

NPI
1063744530
Entity type
Organization (NPI-2)
Legal business name
Samuel W. Kaufman, M.D., INC.
Organization subpart
No
Enumeration date
Feb 8, 2010
Last updated
Feb 8, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, PsychiatryA28426CAYes

Practice location

4515 Orchard St
Montclair, CA 91763-3102

Phone 909-946-2801 · Fax 909-946-3247

Mailing address

Po Box 996
Upland, CA 91785-0996

Phone 909-946-2801 · Fax 909-946-3247

Authorized official

Eileen Vrieze
Biller
9099462801

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