Individual
SAMANTHA MARIE AMEZCUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
Mailing address
863 N VAIL AVE, MONTEBELLO, CA 90640-2432
(323) 770-5452
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-QTHDYJ
CA
Other
Enumeration date
10/10/2025
Last updated
10/24/2025
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