Lysa Samuel is a Medical in Oakland, California. Lysa Samuel practices all healthcare services and medical treatments related to Medical. The NPI Number for Lysa Samuel is 1174737423. The last update date is 2007-07-08.
Lysa Samuel's current location address is 3100 Telegraph Ave, Oakland, California. You can contact this provider via phone number 5106459900 and fax number 5106459919. The mailing address for Lysa Samuel is 3100 Telegraph Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lysa Samuel |
|---|---|
| Address | 3100 Telegraph Ave, Oakland, California |
| Phone Number | 5106459900 |
| Fax Number | 5106459919 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1174737423 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3100 Telegraph Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 94609 |
| Phone Number | 5106459900 |
| Fax Number | 5106459919 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA16296 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Lysa Samuel?
The Lysa Samuel has been issued the NPI (National Provider Identifier) 1174737423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lysa Samuel's facilities are geographically located?
The facilities of Lysa Samuel are physically situated at the following location: 3100 Telegraph Ave, Oakland, CA, 94609.
What is Lysa Samuel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lysa Samuel is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174737423 to Lysa Samuel?
The Lysa Samuel received its 1174737423 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the Lysa Samuel's information last updated?
The Lysa Samuel's information was last updated on 2007-07-08.