Samuel Alan Carlis in Irvine - Family Medicine

Samuel Alan Carlis - NPI 1912001207

Samuel Alan Carlis is a Family Medicine in Irvine, California. Samuel Alan Carlis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Samuel Alan Carlis is 1912001207. The last update date is 2017-09-12.

Samuel Alan Carlis's current location address is 11 Technology Dr, Irvine, California. You can contact this provider via phone number 9499233277 and fax number 8558125865. The mailing address for Samuel Alan Carlis is 11 Technology Dr, Irvine, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Alan Carlis
Address 11 Technology Dr, Irvine, California
Phone Number 9499233277
Fax Number 8558125865
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1912001207
Provider Enumeration Date 2006-09-08
Last Updated Date 2017-09-12

Provider Mailing Address Detail

Address 11 Technology Dr
City Irvine
State California (CA)
Post Code 926182302
Phone Number 9499233277
Fax Number 8558125865

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 20A4822
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0021844 CA --

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FAQs about Samuel Alan Carlis

What is the unique 10-digit identifier code issued to Samuel Alan Carlis by the Centers for Medicare & Medicaid Services?

The Samuel Alan Carlis has been assigned the NPI (National Provider Identifier) 1912001207 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Samuel Alan Carlis?

The Samuel Alan Carlis is physically situated at 11 Technology Dr, in the city of Irvine, state of CA, with the postal code 926182302.

What is the Samuel Alan Carlis's specialty and taxonomy code?

The Samuel Alan Carlis's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date was the 1912001207 assigned to Samuel Alan Carlis?

The Samuel Alan Carlis was issued its 1912001207 on 2006-09-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Samuel Alan Carlis most recently updated or revised?

The information pertaining to Samuel Alan Carlis, including its address, specialty, and other relevant details, was last updated or revised on 2017-09-12.

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