Individual
NITAL SAMPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-7400
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000550
CA
367500000X
Certified Registered Nurse Anesthetist
RN558493
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100732
CRNA ID
PA
Enumeration date
01/06/2014
Last updated
03/17/2018
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