SAMUEL ALAN CARLIS

HUNTINGTON BEACH, CA
NPI1912001207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A4822)
Enumeration Date2006-09-08
Last Update Date2017-09-12
Business Address
Dr. SAMUEL ALAN CARLIS D.O.
10110 ADAMS AVE
HUNTINGTON BEACH, CA 92646-4907
Phone number: 714-963-4559
Mailing Address
Dr. SAMUEL ALAN CARLIS D.O.
11 TECHNOLOGY DR
IRVINE, CA 92618-2302
Phone number: 949-923-3277