Individual provider · Type 1 NPI
Sam Som, FNP-C
Family Nurse Practitioner · Victorville, CA
NPI number
1316084312
Active
Practice location
17330 Bear Valley Rd, Suite A 106
Victorville, CA 92395-7741
Fax (760) 245-8855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 559654 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316084312
Sam Som, FNP-C's National Provider Identifier is 1316084312, issued on Jan 31, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Victorville, CA. The record was last updated on Jul 16, 2014.