Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC16112 | CA |
NPI | 1699749093 |
---|---|
Provider Name | Dr. Samir Farah Daher |
First Address | Glendale, CA 91204-1701 |
Second Address | Glendale, CA 91204-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 21/01/2008 |