MEDICARE: DR. SAMANTHA JILL HAUFF MD

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
1	207Y00000X	Otolaryngology Physician	A123547	CA

General Provider Information

NPI Number	:	1225395734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMANTHA JILL HAUFF MD

Provider Business Mailing Address
First Line	:	4282 GENESEE AVE STE 202
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-4989
Country	:	US
Telephone Number	:	858-746-7882
Fax Number	:	407-988-1066

Provider Business Practice Location Address
First Line	:	4282 GENESEE AVE STE 202
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-4989
Country	:	US
Telephone Number	:	619-320-5595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2012
Last Update Date	:	07/07/2020

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