Individual
DR. SAMUEL LEE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3540 WILSHIRE BLVD, SUITE 714, LOS ANGELES, CA 90010-2307
(213) 382-2063
(213) 382-4935
Mailing address
3540 WILSHIRE BLVD, SUITE 714, LOS ANGELES, CA 90010-2307
(213) 382-2063
(213) 382-4935
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
C37664
CA
208D00000X
General Practice Physician
Primary
C37664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C37664
MEDICAL LICENSE
CA
Enumeration date
11/01/2006
Last updated
03/07/2023
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