| Street | 4170 Pacific Coast Hwy | ||
| City/Town | Torrance | ||
| State/Province/Region | California | ||
| Zip/Postal Code | 90505 | ||
| Phone Number | (310) 791-2687 | ||
| Country | United States |
| Full Name | Mr. Sam Cassin MD | ||
| Gender | male | ||
| Birthday | 1976-10-15 | ||
| Social Security Number | 233-57-4789 |
| Credit card brand | American Express | ||
| Credit card number | 342220442871936 | ||
| Expire | 2029/10 | ||
| CVV | 750 |