DR. PEGAH SAMOUHI DPM NPI 1023565165

NPI Information

NPI: 1023565165
Provider Name: DR. PEGAH SAMOUHI, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: B. DAVID MASSABAND DPM INC

PECOS Registration: Yes

Address:
8631 W 3RD ST
LOS ANGELES, CA
ZIP 90048
Phone: (310) 657-2828
Get Directions

DR. Pegah Samouhi, DPM is a foot and ankle surgery podiatrist in Los Angeles, CA with 9 years of experience. DR. Pegah Samouhi, DPM NPI is 1023565165. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8631 W 3RD ST
LOS ANGELES, CA
ZIP 90048-901
Phone: (310) 657-2828

The NPI 1023565165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/7/2016 and was last updated on 11/2/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E5404	CALIFORNIA	Yes
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	EL6732	CALIFORNIA	No

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

NPI Synchronization or Removal

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