Provider Demographics
NPI:1649414855
Name:ABDELMELEK, SAM W (MD)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:W
Last Name:ABDELMELEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6181
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90714-6181
Mailing Address - Country:US
Mailing Address - Phone:562-633-1616
Mailing Address - Fax:562-633-3503
Practice Address - Street 1:5750 DOWNEY AVE SUITE201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712
Practice Address - Country:US
Practice Address - Phone:562-633-1616
Practice Address - Fax:562-633-5053
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA106876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine