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MAGED SAMAAN DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508856543

Individual Registrant:
 MAGED  SAMAAN DO
Gender: M

Location and contact information for practice:
34636 W COUNTY LINE RD STE 32 YUCAPA, CA 92399 US
Tel: 909-795-9355  Fax: 909-795-9439

Contact information for business:
PO BOX 668  CHINO, CA 91708-0668 US
Tel: 909-795-9355  Fax: 909-795-9439

Registration Information:
NPI: 1508856543
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A6584

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00AX65840CA05




HEALTH CARE JOBS CA - Page 1



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