Healthcare Provider Details

I. General information

NPI: 1497614366
Provider Name (Legal Business Name): SAMANTHA TRUE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 FIGUEROA PL APT 3-04
WILMINGTON CA
90744-2347
US

IV. Provider business mailing address

1345 FIGUEROA PL APT 3-04
WILMINGTON CA
90744-2347
US

V. Phone/Fax

Practice location:
  • Phone: 951-467-4375
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: