Organization
CARLTON B SAMPSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLTON B SAMPSON MD (OWNER PRESIDENT)
(818) 708-5285
Entity
Organization
Contact information
Practice address
18321 CLARK STREET, TARZANA, CA 91356-3501
(818) 708-5285
(818) 708-5491
Mailing address
PO BOX 260620, ENCINO, CA 91436-0620
(818) 708-5285
(818) 708-5491
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G61566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G615661
—
CA
Enumeration date
07/10/2006
Last updated
10/03/2008
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