Individual provider · Type 1 NPI

Angela Sam, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1376807115 Active

Practice location

1200 N State St, D&T3D321
Los Angeles, CA 90033-1029

Mailing address

1539 4th St, Unit 405
Santa Monica, CA 90401-3361

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376807115

Angela Sam, MD's National Provider Identifier is 1376807115, issued on Jun 26, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 26, 2012.