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SAMANTHA BOUDAIE
NPI 1992585806
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since September 29, 2023
3125 N BROADWAY, LOS ANGELES, CA 90031(213) 482-6400 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Boudaie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA BOUDAIE (NPI 1992585806) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1992585806
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA BOUDAIE
Location Address3125 N BROADWAYLos Angeles, CA 90031-2703
Mailing Address3125 N BroadwayLos Angeles, CA 90031-2703 · (213) 482-6400
Phone(213) 482-6400
Sole ProprietorYes
Enumeration DateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1992585806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3125 N BROADWAY, Los Angeles, CA 90031
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIANA GARCIA
Counselor
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
MRS. KARLA P. CARBAJAL INTERN
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 560-8847
EBONIE FONG
Licensed Vocational Nurse
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
EDDIE BOQUILLA
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 222-4591
ORVILLE O DEVLUGT
Rehabilitation Practitioner
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 222-4591
ALEXIS MACKENZIE ORENS LCSW
Social Worker (Clinical)
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
TIANA MILLER
Case Manager/Care Coordinator
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (213) 482-6400
SARINA SITY
Social Worker (Clinical)
3125 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (818) 880-7971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Boudaie's NPI number?

The NPI number for Samantha Boudaie is 1992585806. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Samantha Boudaie located?

Samantha Boudaie practices at 3125 N Broadway, Los Angeles, CA 90031. The listed phone number is (213) 482-6400.

What is Samantha Boudaie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samantha Boudaie was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.