Provider Demographics
NPI:1841395514
Name:SAMONTE, VLADIMIR ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:ANTHONY
Last Name:SAMONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11716 VALLEY VIEW AVE
Mailing Address - Street 2:UNIT F
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2978
Mailing Address - Country:US
Mailing Address - Phone:562-777-9831
Mailing Address - Fax:
Practice Address - Street 1:6119 AGRA ST
Practice Address - Street 2:
Practice Address - City:BELL GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90201-1705
Practice Address - Country:US
Practice Address - Phone:562-928-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75972207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH87397Medicare UPIN