Individual
MARK CHRISTIAN SAMPANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19706 RAY CIR, CERRITOS, CA 90703-7546
(562) 805-8229
Mailing address
12900 PARK PLAZA DR, STE 150, CERRITOS, CA 90703-9329
(562) 207-0139
(562) 741-4479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95004292
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95004292
CA
Other
Enumeration date
05/31/2016
Last updated
11/19/2025
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