Samuel V Agra
Medical Specialty
Professional ID
- NPI: 1598719791
- PECOS ID: 1355382078
- Enrollment ID: I20050512000626
- Credential(MD, DO, DPM): MD
- Medical School:
- Medical School Graduation Year: 1983
Medical Practices
- Organization Name: Ideal Health Care And Medical
- Group Practice ID assigned by PECOS: 3274431309
- Number of Group Practice member: 9
Location
- Address1: 3030 W Ball Rd
- Address2:
- City: Anaheim
- State: California
- Zip Code: 92804
- Phone Number: (657)337-5055
Location
- Address1: 6245 De Longpre Ave
- Address2: Suite 206
- City: Hollywood
- State: California
- Zip Code: 90028
- Phone Number: (323)785-1223
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):