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NPI Code Detail

MEDICARE: SAMANTHA LLANAS-MEDINA

MEDICARE: SAMANTHA LLANAS-MEDINA
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
11041S0200XSchool Social Worker

General Provider Information

NPI Number : 1427945229
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA LLANAS-MEDINA
Provider Business Mailing Address
First Line : 318 E 22ND ST APT 205
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-6769
Country : US
Telephone Number : 619-735-6842
Fax Number :
Provider Business Practice Location Address
First Line : 1501 IMPERIAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-7638
Country : US
Telephone Number : 619-645-6405
Fax Number : 619-687-1067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2025
Last Update Date : 06/30/2025

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Directions to “ SAMANTHA LLANAS-MEDINA ” Practice Location

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