Basic Information
| Provider Information | |||||||||
| NPI: | 1730316548 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAMIMI | ||||||||
| FirstName: | NADIV | ||||||||
| MiddleName: | YEHOSHUA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1964 WESTWOOD BLVD | ||||||||
| Address2: | SUITE 435 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900254651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108569488 | ||||||||
| FaxNumber: | 3108176402 | ||||||||
| Practice Location | |||||||||
| Address1: | 1964 WESTWOOD BLVD | ||||||||
| Address2: | SUITE 435 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900254651 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3108569488 | ||||||||
| FaxNumber: | 3108176402 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2009 | ||||||||
| LastUpdateDate: | 04/27/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A108143 | CA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | A108143 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.