# MARC A SAMSON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194075929
- **Authorized official:** DR. MARC A SAMSON MD (OWNER AND PHYSICAIN)
- **Authorized official phone:** (626) 644-2690

## Contact information

- **Practice address:** 2200 W THIRD ST, SUITE 400, LOS ANGELES, CA 90057-1901
- **Practice address phone:** (213) 484-7600
- **Practice address fax:** (213) 484-7680
- **Mailing address:** 17525 VENTURA BLVD, SUITE 210, ENCINO, CA 91316-3843
- **Mailing address phone:** (818) 986-0200
- **Mailing address fax:** (818) 638-5762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G83671 | CA | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 11/10/2016