Samuel D Banuelos
Case Management in Long Beach, CA. Individual provider (NPI-1).
NPI number1396928974
StatusActive
Last updated in NPPESDec 6, 2007
Details
- NPI
- 1396928974
- Entity type
- Individual (NPI-1)
- Name
- Mr. Samuel D Banuelos
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2007
- Last updated
- Dec 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
415 West Ocean Blvd#100
Long Beach, CA 90802
Phone 562-491-5811 · Fax 562-983-5747
Mailing address
9150 East Imperial HighwayRoom P31
Downey, CA 90242
Phone 562-940-3694 · Fax 562-658-4725
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