Sam Pourbabak
Endocrinologist (Diabetes Doctor)
23331 El Toro Rd 102
Lake Forest
, California 92630-4891
Sam Pourbabak
Endocrinologist (Diabetes Doctor)
23331 El Toro Rd 102
Lake Forest
, California 92630-4891
(949) 916-0091
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Sam Pourbabak
- 23331 El Toro Rd 102
- Lake Forest, CA
- Zip : 92630-4891
- Fax : (949) 916-0091
- Phone : (949) 916-9100
Second Address
- Sam Pourbabak
- 23331 El Toro Rd 102
- Lake Forest, CA
- Zip : 92630-4891
- Fax : (949) 916-0091
- Phone : (949) 916-9100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A94699 | CA |
National Provider Identifier
| NPI | 1043271018 |
|---|---|
| Provider Name | Sam Pourbabak |
| First Address | Lake Forest, CA 92630-4891 |
| Second Address | Lake Forest, CA 92630-4891 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2006 |
| Last Update Date | 03/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I49035 | (02) | NM |
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.