Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malik Marquez Sampson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639713654

Malik Marquez Sampson is a Student in an Organized Health Care Education/Training Program in Bruceton, Tennessee. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

29639 Broad St
Bruceton, TN 38317-2203
Phone: (925) 727-3712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 — (310) 945-3350

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639713654
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2019
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address9808 Venice Blvd Ste 700, Culver City, CA 90232-6824