Wong, Samantha
Wong, Samantha is an individual health care provider with primary practice located at 15503 Ventura Blvd Ste 170 , Encino CA 91436-3145. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Wong, Samantha can be contacted via phone (818) 461-8148.Contact Information
Primary practice address
15503 Ventura Blvd Ste 170
Encino CA 91436-3145
Phone: (818) 461-8148
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A134675 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | California | |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A134675 | California |
Profile Details
| NPI number | 1821331299 |
|---|---|
| LBN Legal business name | Wong, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2013 |
| Last updated | Jan 2nd, 2019 - about 7 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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