| Doctor Name: | SAMANTHA MEKHAIL VON INS |
| NPI Number: | 1942521174 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | A117579 |
| Business Practice Address: | 5451 La Palma Ave Suite 19 La Palma, CA - 906231728 |
| Business Phone Number: | 7145219126 |
| Business Fax Number: | |
| Mailing Address: | 5451 La Palma Ave, Suite 19 LA PALMA |
| State: | CA |
| Postal Code: | 906231728 |
| Phone Number: | 7145219126 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2010 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A117579 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |