Erin S Samplin (NPI# 1811382567, PAC ID# 5092082248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1811382567 |
| PAC ID by PECOS | 5092082248 |
| Professional Enrollment ID | I20170518002759 |
| Full Name | Erin S Samplin |
| Organization Legal Name | JACK J. WU, M.D. INC |
| Address |
6345 Balboa Blvd Suite 240 Encino CA 91316-1580 |
| Phone Number | 8186931431 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1951529239 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050276 | CONTRA COSTA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6345 Balboa Blvd, Suite 240, Encino, CA 91316-1580 | 8186931431 | JACK J. WU, M.D. INC |
| Organization Legal Name | JACK J. WU, M.D. INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tae S. Kim | Psychiatry | Jack J. Wu, M.d. Inc | 5000 Pkwy Calabasas, Suite 103, Calabasas, CA 91302-3904 |
| Benjamin T Bloxham | Psychiatry | Jack J. Wu, M.d. Inc | 5000 Pkwy Calabasas, Suite 103, Calabasas, CA 91302-3904 |
| Street Address |
6345 BALBOA BLVD SUITE 240 |
| City | ENCINO |
| State | CA |
| Zip | 91316-1580 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack Wu | Psychiatry | Jack J Wu Md Inc | 6345 Balboa Blvd, Suite 240, Encino, CA 91316-1580 |
| Kyle Bechaz | Psychiatry | Jack J Wu Md Inc | 6345 Balboa Blvd, Suite 240, Encino, CA 91316-1580 |
| Jean A Pederson | Psychologist, Clinical | 6345 Balboa Blvd, Suite 212, Encino, CA 91316-1517 | |
| Bernard M Kirzner | Psychiatry | 6345 Balboa Blvd, Suite 245, Encino, CA 91316-1580 | |
| Nancy Lee Tither | Clinical Psychologist | 6345 Balboa Blvd, Suite 354, Encino, CA 91316-1511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vladimir Zeetser | Podiatry | 5400 Balboa Blvd, Suite 325, Encino, CA 91316-1502 | |
| Nancy Allison Blum | Psychologist, Clinical | 5535 Balboa Blvd, Suite 104, Encino, CA 91316-1522 | |
| Fariba Sharifi | Psychologist, Clinical | 5535 Balboa Blvd, Suite 200, Encino, CA 91316-1534 | |
| Sheryl Eden | Clinical Psychologist | 5535 Balboa Blvd, Suite 206, Encino, CA 91316-1545 | |
| Steven Joseph Targum | Psychologist, Clinical | 5535 Balboa Blvd, Suite 220, Encino, CA 91316-1553 | |
| Jo Ann Levy | Psychologist, Clinical | 5535 Balboa Blvd, Suite 209, Encino, CA 91316-1585 | |
| Tanya J Moradians | Clinical Social Worker | 5535 Balboa Blvd, Suite 209, Encino, CA 91316-1585 | |
| Frances E Willson | Psychologist, Clinical | 5535 Balboa Blvd, Suite 209, Encino, CA 91316-1585 | |
| Brenda M Malka | Chiropractic | 16910 Burbank Blvd, Encino, CA 91316-1900 | |
| Bonnie Marie Cardenas | Physical Therapy | 5359 Balboa Blvd, Unit A, Encino, CA 91316-2803 | |
| Find all physicians in zip 91316 | |||
| City | ENCINO |
| Zip Code | 91316 |
| Specialty | PSYCHIATRY |
| City + Specialty | ENCINO + PSYCHIATRY |
Please comment or provide details below to improve the information on Erin S Samplin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.