Individual
AU SAM HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 E TEMPLE ST, LOS ANGELES, CA 90012-3328
(310) 651-1198
Mailing address
351 E. TEMPLE STREET., LOS ANGELES, CA 90012-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW24447
CA
Other
Enumeration date
11/06/2008
Last updated
10/06/2016
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