Individual provider · Type 1 NPI

Samantha Brianna Randolph

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

NPI number 1659960631 Active

Practice location

4601 S Broadway
Los Angeles, CA 90037-2729

Call (213) 223-5922 Map

Mailing address

325 W Adams Blvd # 7166
Los Angeles, CA 90007-2659

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 1659960631

Samantha Brianna Randolph's National Provider Identifier is 1659960631, issued on Jan 13, 2021. 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 Jan 13, 2021.