Individual provider · NPI-1

Shohreh Sameni, M.D.

Hospitalist · Mission Viejo, CA

NPI number1386999050
StatusActive
Last updated in NPPESOct 28, 2020

Details

NPI
1386999050
Entity type
Individual (NPI-1)
Name
Shohreh Sameni
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2012
Certification date
Oct 28, 2020
Last updated
Oct 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistA126841CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

26800 Crown Valley Pkwy
Suite 315
Mission Viejo, CA 92691

Phone 949-364-6000 · Fax 949-364-1204

Mailing address

26522 La Alameda
Suite 120
Mission Viejo, CA 92691-6330

Phone 949-282-1671 · Fax 949-367-0518

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