SAMAN GHALILI MD INC NPI 1366735813

NPI Information

NPI: 1366735813
Provider Name: SAMAN GHALILI MD INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D1063080

Address:
2101 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90011
Phone: (213) 745-8766
Get Directions

SAMAN GHALILI MD INC is a general practice in Los Angeles, CA. SAMAN GHALILI MD INC NPI is 1366735813. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2101 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90011-125
Phone: (213) 745-8766

The provider's authorized official is Saman Ghalili .
The authorized official title is Ceo and has the following contact phone number (213) 749-7110.

The CLIA number assigned to this NPI record is 05D1063080 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2011 and was last updated on 10/30/2013.

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	207P00000X	Emergency Medicine		A88734	CALIFORNIA	No
2	261QU0200X	Clinic/Center	Urgent Care	A88734	CALIFORNIA	No
3	208D00000X	General Practice		A88734	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A88734	MEDICARE PIN	CALIFORNIA
2	00A887340	MEDICAID	CALIFORNIA

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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