Organization Active NPI

Ehab Samaan DDS, Inc

  • Dentist
  • Long Beach, CA
National Provider Identifier
1073236881
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EHAB SAMAAN DDS, INC
Practice address
4200 N Lakewood Blvd
Long Beach, CA 90808-1558
Phone
(562) 420-1701
Fax
(562) 421-8447
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ehab Sedky Samaan
Title
DDS
Phone
(562) 420-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4200 N Lakewood Blvd
Long Beach, CA 90808-1558

Mailing address

4200 N Lakewood Blvd
Long Beach, CA 90808-1558
Phone (562) 420-1701

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1073236881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N LAKEWOOD BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081558",
            "telephone_number": "562-420-1701",
            "fax_number": "562-421-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N LAKEWOOD BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081558",
            "telephone_number": "562-420-1701",
            "fax_number": "562-421-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHAB SAMAAN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "SAMAAN",
        "authorized_official_first_name": "EHAB",
        "authorized_official_middle_name": "SEDKY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "562-420-1701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.