Samuels, Jennifer Lee
Samuels, Jennifer Lee is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Samuels, Jennifer Lee can be contacted via phone (323) 361-5162.Contact Information
Primary practice address
4650 W Sunset Blvd
Los Angeles CA 90027-6062
Phone: (323) 361-5162
Fax: (323) 361-3717
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 95075527 | California |
Profile Details
NPI number | 1265621866 |
---|---|
LBN Legal business name | Samuels, Jennifer Lee |
Credentials | RN, MSN, CPNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2007 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265621866 | NPPES |
California | Other | 95075527 | STATE LICENSE |
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