Samuel, Christojohn

Samuel, Christojohn is an individual health care provider with primary practice located at 418 San Fernando Mission Blvd , San Fernando CA 91340-3530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Samuel, Christojohn can be contacted via phone (818) 365-1668.

Contact Information

Primary practice address
418 San Fernando Mission Blvd San Fernando CA 91340-3530
Phone: (818) 365-1668
Fax: (818) 365-1189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C42242 California

Profile Details

NPI number 1134129828
LBN Legal business name Samuel, Christojohn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Feb 10th, 2021 - about 5 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 1134129828 NPPES
California MEDICAID 00C422420

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