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Samuel Agra, MD
Specialist in Los Angeles, California
NPI 1598719791

Samuel Agra is a Specialist based in Los Angeles, CA. Samuel Agra practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Samuel Agra is 1598719791 and holds a License No. A54058 (California).

The current practice location address for Samuel Agra is 1711 W Temple St, Los Angeles, CA and can be reached out via phone at 213-989-6107 and via fax at 213-483-5032.

Location: 1711 W Temple St, Los Angeles, CA, 90065-3551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598719791
Provider Name
Samuel Agra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1711 W Temple St, Los Angeles, CA, 90065-3551
Phone Number
213-989-6107
Fax Number
213-483-5032
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A540581 05 CA
institution
Provider Business Practice Location Address Details
Address
1711 W Temple St
City
Los Angeles
State
California
Zip
90026-5421
Phone Number
213-989-6107
Fax Number
213-483-5032
person
Provider Business Mailing Address Details
Address
1711 W Temple St
City
Los Angeles
State
California
Zip
90026-5421
Phone Number
213-989-6107
Fax Number
213-483-5032
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A54058 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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