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1912001207
SAMUEL ALAN CARLIS
HUNTINGTON BEACH, CA
NPI
1912001207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A4822)
Enumeration Date
2006-09-08
Last Update Date
2017-09-12
Business Address
Dr. SAMUEL ALAN CARLIS D.O.
10110 ADAMS AVE
HUNTINGTON BEACH, CA 92646-4907
Phone number: 714-963-4559
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Mailing Address
Dr. SAMUEL ALAN CARLIS D.O.
11 TECHNOLOGY DR
IRVINE, CA 92618-2302
Phone number: 949-923-3277
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