Healthcare Provider Details

I. General information

NPI: 1033728563
Provider Name (Legal Business Name): NATALIE SAMIMI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 S BEVERLY DR STE 700
LOS ANGELES CA
90035-1151
US

IV. Provider business mailing address

2008 S BARRINGTON AVE
LOS ANGELES CA
90025-5321
US

V. Phone/Fax

Practice location:
  • Phone: 213-584-2331
  • Fax: 424-421-3646
Mailing address:
  • Phone: 818-324-1255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95010336
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: