DOUGLAS BRYAN SAM (NPI# 1467629949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467629949 |
| Entity Type | Individual |
| Full Name | DOUGLAS BRYAN SAM |
| Credential | D.D.S. |
| Practice Address |
4519 Admiralty Way Ste 120 Marina Del Rey CA 90292-5455 |
| Practice Telephone | 3108215288 |
| Practice Fax Number | 3108210153 |
| Mailing Telephone | 3108215288 |
| Mailing Fax Number | 3108210153 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40009 | CA | Dental Providers |
| Street Address |
4519 ADMIRALTY WAY STE 120 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-5455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225642044 | Kimberly Chyu | Dentist | 4519 Admiralty Way Ste 120, Marina Del Rey, CA 90292-5455 | 2020-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669994943 | Jamie Lynn Yeo | Dentist | 4560 Admiralty Way Ste 350, Marina Del Rey, CA 90292-5446 | 2017-07-08 |
| 1184034894 | Simon Grock Dds Apc | Dentist | 4553 Glencoe Ave # 310, Marina Del Rey, CA 90292-7906 | 2014-05-02 |
| 1538411947 | Rubi Montejano | Dentist | 3710 Esplanade, Marina Del Rey, CA 90292-5700 | 2012-10-09 |
| 1184821449 | Ramin D. Partovy | Dentist | 13450 Maxella Ave Ste 220, Marina Del Rey, CA 90292-5662 | 2007-06-29 |
| 1700093697 | Marina Dental Center | Dentist | 13155 Mindanao Way, Marina Del Rey, CA 90292-6307 | 2007-05-17 |
| 1770647893 | Marjaneh Moghimi | Dentist | 13400 Washington Blvd Ste 202b, Marina Del Rey, CA 90292-5643 | 2006-12-21 |
| 1144211236 | Lisa Ho Guinan | Dentist | 4826 Lincoln Blvd, Marina Del Rey, CA 90292-6917 | 2005-10-29 |
| 1225021272 | Helen Marie Sanderson | Dentist | 4560 Admiralty Way, Suite #250, Marina Del Rey, CA 90292-5423 | 2005-08-24 |
| 1225642044 | Kimberly Chyu | Dentist | 4519 Admiralty Way Ste 120, Marina Del Rey, CA 90292-5455 | 2020-08-31 |
| 1265913081 | Konviser Dental Professional Corporation | Dentist | 4644 Lincoln Blvd Ste 404, Marina Del Rey, CA 90292-6380 | 2018-08-29 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on DOUGLAS BRYAN SAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.