Douglas Bryan Sam in Marina Del Rey - General Practice
Douglas Bryan Sam - NPI 1467629949
Douglas Bryan Sam is a General Practice in Marina Del Rey, California. Douglas Bryan Sam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Douglas Bryan Sam is 1467629949. The last update date is 2008-05-13.
Douglas Bryan Sam's current location address is 4519 Admiralty Way Ste 120, Marina Del Rey, California. You can contact this provider via phone number 3108215288 and fax number 3108210153. The mailing address for Douglas Bryan Sam is 4519 Admiralty Way Ste 120, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Bryan Sam |
|---|---|
| Address | 4519 Admiralty Way Ste 120, Marina Del Rey, California |
| Phone Number | 3108215288 |
| Fax Number | 3108210153 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1467629949 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-05-13 |
Provider Mailing Address Detail
| Address | 4519 Admiralty Way Ste 120 |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902925455 |
| Phone Number | 3108215288 |
| Fax Number | 3108210153 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 40009 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Douglas Bryan Sam?
The Douglas Bryan Sam has been issued the NPI (National Provider Identifier) 1467629949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Douglas Bryan Sam is physically located?
The Douglas Bryan Sam is physically situated at the following address: 4519 Admiralty Way Ste 120, Marina Del Rey, CA, 902925455.
What is Douglas Bryan Sam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas Bryan Sam is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Douglas Bryan Sam receive the assignment of its 1467629949 from the Centers for Medicare & Medicaid Services?
The Douglas Bryan Sam was issued its 1467629949 by the Centers for Medicare & Medicaid Services on 2008-05-13.
When was the information regarding Douglas Bryan Sam, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Douglas Bryan Sam, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-13.