person
Samantha Boudaie
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1992585806

Samantha Boudaie is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Samantha Boudaie practices in Los Angeles, CA. The NPI Number for Samantha Boudaie is 1992585806 and holds a License No. (California).

The current practice location address for Samantha Boudaie is 3125 N Broadway, Los Angeles, CA and can be reached out via phone at 213-482-6400.

Location: 3125 N Broadway, Los Angeles, CA, 90031-2703
person
Provider Profile Details
NPI Number
1992585806
Provider Name
Samantha Boudaie
Credential
Provider Entity Type
Individual
Gender
Female
Address
3125 N Broadway, Los Angeles, CA, 90031-2703
Phone Number
213-482-6400
Fax Number
Provider Enumeration Date
09/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3125 N Broadway
City
State
Zip
90031-2703
Phone Number
213-482-6400
Fax Number
person
Provider Business Mailing Address Details
Address
3125 N Broadway
City
State
Zip
90031-2703
Phone Number
213-482-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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