# GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION

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

## Provider details

- **NPI number:** 1386606754
- **Authorized official:** NUPUR KUMAR D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (562) 602-1563

## Contact information

- **Practice address:** 10833 VALLEY VIEW ST, SUITE 300, CYPRESS, CA 90630
- **Practice address phone:** (562) 602-1563
- **Practice address fax:** (562) 220-1016
- **Mailing address:** 10833 VALLEY VIEW ST, SUITE 300, CYPRESS, CA 90630
- **Mailing address phone:** (562) 602-1563
- **Mailing address fax:** (562) 220-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | C1335521 | CA | Yes |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 12/21/2016
