Organization
GOOD SAMARITAN MEDICAL PRACTICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUPUR KUMAR D.O. (MEDICAL DIRECTOR)
(562) 602-1563
Entity
Organization
Contact information
Practice address
10833 VALLEY VIEW ST, SUITE 300, CYPRESS, CA 90630
(562) 602-1563
(562) 220-1016
Mailing address
10833 VALLEY VIEW ST, SUITE 300, CYPRESS, CA 90630
(562) 602-1563
(562) 220-1016
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C1335521
CA
Other
Enumeration date
04/03/2006
Last updated
12/21/2016
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