Sam Som, FNP-C

NPI 1316084312 · on the registry since 2007 · sole proprietor

Practice

Address: 17330 Bear Valley Rd
Suite A 106
Victorville, CA 92395
Phone: (760) 245-9999
Fax: (760) 245-8855
Organisation at this address: Westside Premier Med Grp
Hd Physical Medicine, A Professional Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-16

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