Ebrahimi, Sam A

Ebrahimi, Sam A is an sole proprietor health care provider with primary practice located at 18375 Ventura Blvd Suite# 404, Tarzana CA 91356-4218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Ebrahimi, Sam A can be contacted via phone (818) 422-5322.

Contact Information

Primary practice address
18375 Ventura Blvd Suite# 404 Tarzana CA 91356-4218
Phone: (818) 422-5322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD33806 District of Columbia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0101233742 Virginia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X D0059318 Maryland
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A060777 California

Profile Details

NPI number 1114916376
LBN Legal business name Ebrahimi, Sam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Oct 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114916376 NPPES
Other 100336 JHHC PRIORITY PARTNER
Other J449-0010 JHHC PRIORITY PARTNER
MEDICAID 035556900 JHHC PRIORITY PARTNER
Other 4129526 JHHC PRIORITY PARTNER
Other 484AWA JHHC PRIORITY PARTNER
Other P00435744 JHHC PRIORITY PARTNER
MEDICAID 404465702 JHHC PRIORITY PARTNER

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