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SAM GHALILI MD INC
NPI 1720453574
General Practice in Los Angeles, CA

Active since December 04, 2015
2101 S SAN PEDRO ST, LOS ANGELES, CA 90011(213) 845-8766(213) 745-8704 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2016, Dec 4, 2015 (2 updates tracked since 2015).

About Sam Ghalili Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM GHALILI MD INC (NPI 1720453574) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since December 2015. The organization lists Sam Ghalili, Owner, as its authorized official.

NPPES Registry Identity

NPI1720453574
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSAM GHALILI MD INC
Location Address2101 S SAN PEDRO STLos Angeles, CA 90011-1125
Mailing Address2101 S San Pedro StLos Angeles, CA 90011-1125 · (213) 845-8766 · Fax (213) 745-8704
Phone(213) 845-8766
Fax(213) 745-8704
Organization SubpartNo
Authorized OfficialSam GhaliliOwner · (213) 749-7110
Enumeration DateDecember 4, 2015
Last NPPES UpdateSeptember 21, 20162 updates tracked since enumeration
✔ NPI 1720453574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPediatricsTaxonomy 208000000X · License A88734 (CA)
2101 S SAN PEDRO ST, Los Angeles, CA 90011
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Other Identifiers 2

Medicare UPINA88734CA
MedicaidA088734CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAZIAR MARK GHALILI D.O.
Internal Medicine
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (702) 671-2341
SAMAN GHALILI MD INC
General Practice
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 745-8766
LAURA P. LAMAS-GUZMAN PA-C
Physician Assistant
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 745-8766
SAMAN GHALILI M.D.
General Practice
2101 S SAN PEDRO ST
LOS ANGELES, CA 90011
Los Angeles County (213) 745-8766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Ghalili MD Inc's NPI number?

The NPI number for Sam Ghalili MD Inc is 1720453574. It was assigned to this organization in the NPPES registry on December 4, 2015.

Where is Sam Ghalili MD Inc located?

Sam Ghalili MD Inc is located at 2101 S San Pedro St, Los Angeles, CA 90011. The listed phone number is (213) 845-8766.

What is Sam Ghalili MD Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sam Ghalili MD Inc was last updated on September 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.