Individual
MARCELO SANTOS SAMPAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 500, LOS ANGELES, CA 90073-1003
(107) 797-7203
Mailing address
4700 W SUNSET BLVD, FL 2, LOS ANGELES, CA 90027-6082
(107) 797-7203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A148327
CA
207RN0300X
Nephrology Physician
Primary
A148327
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2014
Last updated
12/23/2021
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