Samudio, Nancy

Samudio, Nancy is an individual health care provider with primary practice located at 399 E Highland Ave Suite 516, San Bernardino CA 92404-3808. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Samudio, Nancy can be contacted via phone (909) 881-1722.

Contact Information

Primary practice address
399 E Highland Ave Suite 516 San Bernardino CA 92404-3808
Phone: (909) 881-1722
Fax: (909) 883-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A82448 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A82448 California

Profile Details

NPI number 1841386356
LBN Legal business name Samudio, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 14th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841386356 NPPES
California MEDICAID 00A824480

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