Individual
JAMES RUSSELL SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, BECKER 220, LOS ANGELES, CA 90048
(310) 423-5252
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A158563
CA
208M00000X
Hospitalist Physician
Primary
A158563
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/19/2017
Last updated
06/15/2022
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