Othman, Samer S.

Othman, Samer S. is an individual health care provider with primary practice located at 10 Santa Rosa St Ste 201 , San Luis Obispo CA 93405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Othman, Samer S. can be contacted via phone (805) 544-7246.

Contact Information

Primary practice address
10 Santa Rosa St Ste 201 San Luis Obispo CA 93405
Phone: (805) 544-7246
Fax: (805) 782-8097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A118624 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A118624 California

Profile Details

NPI number 1437476439
LBN Legal business name Othman, Samer S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2010
Last updated Apr 10th, 2020 - about 6 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 1437476439 NPPES
California Other 12609001 CAQH PROVIDER NUMBER
California Other A118624 CAQH PROVIDER NUMBER

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