Individual provider · Type 1 NPI

Samuel Simon David Kianmahd, MD

Student in an Organized Health Care Education/Training Program · Downey, CA

NPI number 1376122390 Active

Practice location

11500 Brookshire Ave, Gme Office Downey
Downey, CA 90241-4917

Call (562) 904-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376122390

Samuel Simon David Kianmahd, MD's National Provider Identifier is 1376122390, issued on Apr 6, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Downey, CA. The record was last updated on Apr 6, 2021.