Romeo Samouh MD INC
Family Medicine in Upland, CA. Organization (NPI-2).
NPI number1508304544
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1508304544
- Entity type
- Organization (NPI-2)
- Legal business name
- Romeo Samouh MD INC
- Organization subpart
- No
- Enumeration date
- Feb 10, 2017
- Last updated
- Jun 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | a127159 | CA | Yes |
Practice location
811 E 11th St Ste 102Upland, CA 91786-4872
Phone 909-360-8737 · Fax 909-377-5302
Mailing address
811 E 11th St Ste 102Upland, CA 91786-4872
Phone 909-360-8737 · Fax 909-377-5302
Authorized official
Romeo Samouh
MD/President
9093608737
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