Individual provider · Type 1 NPI
Mark Shawn Samuel
Family Nurse Practitioner · Los Angeles, CA
NPI number
1184402083
Active
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95028358 (CA) |
| Family Nurse Practitioner | 363LF0000X | AP61477587 (WA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1184402083
Mark Shawn Samuel's National Provider Identifier is 1184402083, issued on Sep 20, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 8, 2026.