Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Im, MD

Individual provider Gynecologic Oncology Physician · NPI 1790839496

Samuel Im, MD is an Obstetrics/Gynecology in Whittier, California. Graduated from University of Southern California Keck School of Medicine in 1996, 30 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12462 Putnam St Ste 303
Whittier, CA 90602-1048
Phone: (562) 900-1012
Fax: (562) 789-4440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence A71341 (CA)

Record details

NPI number1790839496
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESOctober 12, 2011
Mailing addressPo Box 4316, Cerritos, CA 90703-4316

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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