NPIMap

Organization Active NPI

Ehab Samaan DDS,Inc

  • Dentist
  • Lakewood, CA
National Provider Identifier
1548507239
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49798 Issued in CA
Legal business name
EHAB SAMAAN DDS,INC
Practice address
5203 Lakewood Blvd
Lakewood, CA 90712-2438
Phone
(562) 531-7373
Fax
(562) 531-0489
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Dr. Ehab S Samaan
Title
Owner
Phone
(562) 531-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 49798 CA Primary

Addresses

Primary practice location

5203 Lakewood Blvd
Lakewood, CA 90712-2438

Mailing address

5203 Lakewood Blvd
Lakewood, CA 90712-2438
Phone (562) 531-7373

National Provider Directory

National Provider Directory
Tax ID family
Ehabsamaan DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1548507239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 LAKEWOOD BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122438",
            "telephone_number": "562-531-7373",
            "fax_number": "562-531-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 LAKEWOOD BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122438",
            "telephone_number": "562-531-7373",
            "fax_number": "562-531-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHAB SAMAAN DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SAMAAN",
        "authorized_official_first_name": "EHAB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-531-7373",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.