SAMANTHA WONG

ENCINO, CA
NPI1821331299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: CA  A134675)
Additional Taxonomies207L00000X Anesthesiology
(Licence: CA  A134675)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-04-03
Last Update Date2019-01-02
Business Address
SAMANTHA WONG
15503 VENTURA BLVD STE 170
ENCINO, CA 91436-3145
Phone number: 818-461-8148
Mailing Address
SAMANTHA WONG
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8732