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GOOD SAMARITAN MEDICAL CLINIC INC NPI 1285795773


NPI Information

NPI: 1285795773
Provider Name: GOOD SAMARITAN MEDICAL CLINIC, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1013581

Address:
801 N HARBOR BLVD
ANAHEIM, CA
ZIP 92805
Phone: (714) 774-7500
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GOOD SAMARITAN MEDICAL CLINIC, INC is a family medicine in Anaheim, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GOOD SAMARITAN MEDICAL CLINIC, INC NPI is 1285795773. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 N HARBOR BLVD
ANAHEIM, CA
ZIP 92805-810
Phone: (714) 774-7500
Fax: (714) 774-7502

The provider's authorized official is Youssef Nageib Beshai .
The authorized official title is Ceo, Medical Doctor and has the following contact phone number (714) 774-7500.

The CLIA number assigned to this NPI record is 05D1013581 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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