Samson Psychiatry INC.
Psychiatry & Neurology, Psychiatry in Roseville, CA. Organization (NPI-2).
NPI number1073006367
StatusActive
Last updated in NPPESJun 11, 2018
Details
- NPI
- 1073006367
- Entity type
- Organization (NPI-2)
- Legal business name
- Samson Psychiatry INC.
- Organization subpart
- No
- Enumeration date
- Jun 11, 2018
- Last updated
- Jun 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
720 Sunrise Ave Ste 202cRoseville, CA 95661-4509
Phone 530-341-2521 · Fax 844-769-4940
Mailing address
720 Sunrise Ave Ste 202cRoseville, CA 95661-4509
Phone 530-341-2521 · Fax 844-769-4940
Authorized official
Prudencio Samson
President
8608810878
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