Healthcare Provider Details

I. General information

NPI: 1841395514
Provider Name (Legal Business Name): VLADIMIR ANTHONY SAMONTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6119 AGRA ST
BELL GARDENS CA
90201-1705
US

IV. Provider business mailing address

11716 VALLEY VIEW AVE UNIT F
WHITTIER CA
90604-2978
US

V. Phone/Fax

Practice location:
  • Phone: 562-928-9600
  • Fax:
Mailing address:
  • Phone: 562-777-9831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA75972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: