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NPI Code Detail

MEDICARE: ANTONIO SAMANO

MEDICARE: ANTONIO SAMANO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1750258620
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIO SAMANO
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 15852 GALE AVE
Second Line :
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-1601
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2025
Last Update Date : 01/15/2026

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Directions to “ ANTONIO SAMANO ” Practice Location

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