PAULA PHALLA SAM

COSTA MESA, CA
NPI1730423658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95167659)
Additional Taxonomies101Y00000X Counselor
(Licence: CA  PT34503)
Enumeration Date2012-11-15
Last Update Date2020-03-03
Business Address
PAULA PHALLA SAM
301 VICTORIA ST
COSTA MESA, CA 92627-1995
Phone number: 949-433-1167
Mailing Address
PAULA PHALLA SAM
401 S TUSTIN ST BLDG. D
ORANGE, CA 92866-2550
Phone number: 714-289-3936