Individual
MR. RICHARD GABRIEL SAMEDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1720 W BALL RD STE 4C, ANAHEIM, CA 92804-5591
(714) 683-1472
(714) 683-1473
Mailing address
123 ORANGE GROVE AVE, PLACENTIA, CA 92870-4848
(949) 566-4308
(714) 683-1473
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030301
CA
Other
Enumeration date
04/30/2024
Last updated
04/17/2025
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