Individual
SAMSON BASSEY BASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 W 235TH ST APT 4, TORRANCE, CA 90505-4130
(310) 415-9153
Mailing address
2830 W 235TH ST APT 4, TORRANCE, CA 90505-4130
(310) 415-9153
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2024095860
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024095860
CA
Other
Enumeration date
02/06/2025
Last updated
04/20/2026
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