Individual
GRETCHEN D SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15031 RINALDI ST, DEPT OF PATHOLOGY, MISSION HILLS, CA 91345-1207
(818) 898-4412
(818) 898-4419
Mailing address
2219 W OLIVE AVE, #219, BURBANK, CA 91506-2625
(818) 898-4412
(818) 898-4419
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G44040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G440400
—
CA
Enumeration date
09/09/2005
Last updated
10/09/2014
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