Samer Moghaddam
Medical Specialty
Professional ID
- NPI: 1275700478
- PECOS ID: 7618193749
- Enrollment ID: I20140728000206
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2007
Hospital Service
- Hospital CCN1: 050353
- Business Name (LBN)1: Providence Little Company Of Mary Med Ctr Torrance
- Hospital CCN2: 050239
- Business Name (LBN)2: Glendale Adventist Medical Center
Medical Practices
- Organization Name: Faculty Physicians And Surgeons Of Llusm
- Group Practice ID assigned by PECOS: 1153227814
- Number of Group Practice member: 884
Location
- Address1: 1505 Wilson Ter
- Address2: Suite 155
- City: Glendale
- State: California
- Zip Code: 91206
- Phone Number: (909)558-3636
Medical Practices
- Organization Name: Southern California Hospitalist Network
- Group Practice ID assigned by PECOS: 8921990110
- Number of Group Practice member: 80
Location
- Address1: 2040 S Santa Cruz St
- Address2: Suite 215
- City: Anaheim
- State: California
- Zip Code: 92805
- Phone Number: (714)202-2330
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):