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

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NPI Details

SAMAN GHALILI MD INC is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee 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
1207P00000XEmergency MedicineA88734CALIFORNIANo
2261QU0200XClinic/CenterUrgent CareA88734CALIFORNIANo
3208D00000XGeneral PracticeA88734CALIFORNIAYes

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
1A88734MEDICARE PINCALIFORNIA
200A887340MEDICAIDCALIFORNIA

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: 11/21/2025

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