Jarvis Sams, M.A

NPI 1598183097 · on the registry since 2014

Practice

Address: 11600 Eldridge Ave
Lake View Terrace, CA 91342
Phone: (818) 686-3109
Organisation at this address: Phoenix House Foundation
Phoenix Houses Of Los Angeles, Inc.
Phoenix Houses Of Los Angeles, Inc.
Phoenix House California - Lake View Terrace
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 161

Registry record

Primary taxonomy: 225400000X
225400000X
Also registered as: 106H00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-06-18

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