Provider Demographics
NPI:1205924081
Name:SAMI, DAVID (MD)
Entity type:Individual
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First Name:DAVID
Middle Name:
Last Name:SAMI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:455 S MAIN ST
Mailing Address - Street 2:PSF OPHTHALMOLOGY
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3835
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:392 S GLASSELL ST STE 100
Practice Address - Street 2:PSF OPHTHALMOLOGY
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-1920
Practice Address - Country:US
Practice Address - Phone:714-289-2389
Practice Address - Fax:714-289-2390
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2021-02-26
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Provider Licenses
StateLicense IDTaxonomies
CAA74825207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A748250Medicaid