Hietalati, Samantha Mae

Hietalati, Samantha Mae is an individual health care provider with primary practice located at 3010 Childrens Way , San Diego CA 92123-4223. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Hietalati, Samantha Mae can be contacted via phone (858) 966-5818.

Contact Information

Primary practice address
3010 Childrens Way San Diego CA 92123-4223
Phone: (858) 966-5818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A162427 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X A162427 California

Profile Details

NPI number 1245617489
LBN Legal business name Hietalati, Samantha Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated Oct 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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