Doctor Name: | MARIA LOURDES ORETA SAMSON |
NPI Number: | 1043381254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 16657 |
Business Practice Address: | 14427 Chase St Ste. 100 Panorama City, CA - 914023020 |
Business Phone Number: | 8188307751 |
Business Fax Number: | 8188917892 |
Mailing Address: | 14427 Chase St, Ste. 100 PANORAMA CITY |
State: | CA |
Postal Code: | 914023020 |
Phone Number: | 8188307751 |
Fax Number: | 8188917892 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 16657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |