Search › California › 101YM0800X
Samantha Ponce
NPI 1073030011 · on the registry since 2017
Practice
- Address
- 506 E Fairview Ave Apt A
San Gabriel, CA 91776 - Phone
- (323) 485-7715
- Organisation at this address
- Homes For Life Foundation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 333 S Beaudry Ave, Los Angeles, CA
- 506 E Fairview Ave Apt A, San Gabriel, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-05
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