Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 2009007669 | MO |
Y | 207KA0200X | Allergist | A121800 | CA |
NPI | 1053532366 |
---|---|
Provider Name | Dr. Sarah Samimi Field |
First Address | Orange, CA 92868-4403 |
Second Address | Orange, CA 92868-4403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 24/09/2012 |