Search › California › 101YM0800X
Jessica Sample
NPI 1932758869 · on the registry since 2019
Practice
- Address
- 1050 N Garey Ave
Pomona, CA 91767 - Phone
- (909) 623-6391
- Fax
- (909) 620-9491
- Organisation at this address
- Aegis Treatment Centers, Llc
Aegis Treatment Centers, Llc
Nationwide Medical Group, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YA0400X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-13
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