Healthcare Provider Details

I. General information

NPI: 1346641396
Provider Name (Legal Business Name): HANNA SAMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 HUGHES WAY STE C-300
LONG BEACH CA
90810-1870
US

IV. Provider business mailing address

1500 HUGHES WAY
LONG BEACH CA
90810-1870
US

V. Phone/Fax

Practice location:
  • Phone: 562-234-4944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number121045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: