Search › California › 152W00000X
Bonnie Samuelson, OD
NPI 1073139291 · on the registry since 2020 · sole proprietor
Practice
- Address
- 21161 Newport Coast Dr
Newport Beach, CA 92657 - Phone
- (949) 640-4733
- Fax
- (949) 287-0186
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California