Provider Demographics
NPI:1881937720
Name:ABBASSI, SAM (MD, MS)
Entity type:Individual
Prefix:DR
First Name:SAM
Middle Name:
Last Name:ABBASSI
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:7345 MEDICAL CENTER DR STE 320
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1962
Mailing Address - Country:US
Mailing Address - Phone:818-953-0093
Mailing Address - Fax:877-883-9992
Practice Address - Street 1:7345 MEDICAL CENTER DR STE 320
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1962
Practice Address - Country:US
Practice Address - Phone:818-953-0093
Practice Address - Fax:877-883-9992
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-44228207W00000X
CAA133231207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty