Organization
MARC A SAMSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC A SAMSON MD (OWNER AND PHYSICAIN)
(626) 644-2690
Entity
Organization
Contact information
Practice address
2200 W THIRD ST, SUITE 400, LOS ANGELES, CA 90057-1901
(213) 484-7600
(213) 484-7680
Mailing address
17525 VENTURA BLVD, SUITE 210, ENCINO, CA 91316-3843
(818) 986-0200
(818) 638-5762
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G83671
CA
Other
Enumeration date
09/19/2012
Last updated
11/10/2016
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