Search › California › 1041C0700X
Mariesa Samba
NPI 1831745967 · on the registry since 2019
Practice
- Address
- 4601 S Broadway
Los Angeles, CA 90037 - Phone
- (323) 234-4445
- Fax
- (323) 682-0632
- Clinicians at this address
- 39
Additional practice sites
- 333 S Beaudry Ave, Los Angeles, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
1041C0700X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-19
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