Paula Phalla Sam, is a
Registered Nurse based in Costa Mesa, California. Paula Phalla Sam is licensed to practice in California (license number 95167659) and her current practice location is
301 Victoria St, Costa Mesa, California. She can be reached at her office (for appointments etc.) via phone at
(949) 433-1167.
NPI number for Paula Phalla Sam is 1730423658 and her current mailing address is 401 S Tustin St, Bldg. D, Orange, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730423658.
Healthcare Provider's Profile
Full Name | Paula Phalla Sam |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 301 Victoria St, Costa Mesa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730423658
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 03/03/2020
Medical Identifiers
Medical identifiers for Paula Phalla Sam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730423658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | PT34503 (California) | Secondary |
163W00000X | Registered Nurse | 95167659 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paula Phalla Sam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Paula Phalla Sam, 401 S Tustin St, Bldg. D, Orange, CA 92866-2550 Ph: (714) 289-3936 | Paula Phalla Sam, 301 Victoria St, Costa Mesa, CA 92627-1995 Ph: (949) 433-1167 |
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