Ellie E Samadani
Ophthalmologist
3737 Moraga Ave Suite A105
San Diego
, California 92117-5404
Ellie E Samadani
Ophthalmologist
3737 Moraga Ave Suite A105
San Diego
, California 92117-5404
(858) 273-0619
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Ellie E Samadani
- 3737 Moraga Ave Suite A105
- San Diego, CA
- Zip : 92117-5404
- Fax : (858) 273-0619
- Phone : (858) 273-0200
Second Address
- Ellie E Samadani
- 3737 Moraga Ave Suite A105
- San Diego, CA
- Zip : 92117-5404
- Fax : (858) 273-0619
- Phone : (858) 273-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | G83066 | CA |
National Provider Identifier
| NPI | 1033268503 |
|---|---|
| Provider Name | Ellie E Samadani |
| First Address | San Diego, CA 92117-5404 |
| Second Address | San Diego, CA 92117-5404 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 21/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G830660 | (05) | CA |
| G35801 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.