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NPI Code Detail

MEDICARE: SAMANTHA SWIFT

MEDICARE: SAMANTHA SWIFT
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1639503634
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA SWIFT
Provider Business Mailing Address
First Line : 5152 KATELLA AVE STE 205
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-2846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5152 KATELLA AVE STE 205
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-2846
Country : US
Telephone Number : 714-721-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2013
Last Update Date : 04/15/2024

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Directions to “ SAMANTHA SWIFT ” Practice Location

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