Provider Type Icon

MR. SAMSON OMAIVBOJE B. ARCH NPI 1912118365


NPI Information

NPI: 1912118365
Provider Name: MR. SAMSON OMAIVBOJE, B. ARCH
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
126 E PALM ST
ALTADENA, CA
ZIP 91001
Phone: (626) 794-1020
Get Directions

MR. Samson Omaivboje, B. ARCH is a counselor in Altadena, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Samson Omaivboje, B. ARCH NPI is 1912118365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

126 E PALM ST
ALTADENA, CA
ZIP 91001-824
Phone: (626) 794-1020
Fax: (626) 794-4138

The enumeration date for this NPI number is 5/25/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.