person
Mark Shawn Samuel
Family Nurse Practitioner in Los Angeles, California
NPI 1184402083

Mark Shawn Samuel is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Mark Shawn Samuel practices in Los Angeles, CA. The NPI Number for Mark Shawn Samuel is 1184402083 and holds a License No. AP61477587 (California).

The current practice location address for Mark Shawn Samuel is 11301 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 661-992-6212.

Location: 11301 Wilshire Blvd, Los Angeles, CA, 90073-1003
person
Provider Profile Details
NPI Number
1184402083
Provider Name
Mark Shawn Samuel
Credential
Provider Entity Type
Individual
Gender
Male
Address
11301 Wilshire Blvd, Los Angeles, CA, 90073-1003
Phone Number
661-992-6212
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd
City
State
Zip
90073-1003
Phone Number
661-992-6212
Fax Number
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd
City
State
Zip
90073-1003
Phone Number
661-992-6212
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP61477587 (Washington)
Definition
Definition to come...
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