Iwamoto, Samantha Jo

Iwamoto, Samantha Jo is an sole proprietor health care provider with primary practice located at 4215 Glencoe Ave Unit 419 , Marina Del Rey CA 90292-4633. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Iwamoto, Samantha Jo can be contacted via phone (858) 254-4709.

Contact Information

Primary practice address
4215 Glencoe Ave Unit 419 Marina Del Rey CA 90292-4633
Phone: (858) 254-4709
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 20309 California

Profile Details

NPI number 1932611126
LBN Legal business name Iwamoto, Samantha Jo
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2017
Last updated Oct 29th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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