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NPI Code Detail

MEDICARE: SAMANTHA BOMBECK

MEDICARE: SAMANTHA BOMBECK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist28429CA

General Provider Information

NPI Number : 1235547944
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BOMBECK
Provider Business Mailing Address
First Line : 4567 KANSAS ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92116-4263
Country : US
Telephone Number : 330-501-4496
Fax Number :
Provider Business Practice Location Address
First Line : 1609 E MADISON AVE
Second Line :
City : EL CAJON
State : CA
Zip : 92019-1046
Country : US
Telephone Number : 619-588-3146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2014
Last Update Date : 04/21/2026

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Directions to “ SAMANTHA BOMBECK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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