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Samantha Persoff
NPI 1659829083 · on the registry since 2016 · sole proprietor
Practice
- Address
- 12620 Admiral Ave
Los Angeles, CA 90066 - Phone
- (818) 203-1777
- Fax
- (424) 227-7056
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-14
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