Provider Demographics
NPI:1144843962
Name:PARGOL SAMANI MD INC
Entity type:Organization
Organization Name:PARGOL SAMANI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARGOL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-561-1026
Mailing Address - Street 1:3927 WARING RD STE C
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4458
Mailing Address - Country:US
Mailing Address - Phone:818-561-1026
Mailing Address - Fax:
Practice Address - Street 1:3927 WARING RD STE C
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4458
Practice Address - Country:US
Practice Address - Phone:619-703-7220
Practice Address - Fax:619-703-7221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty