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

Sam Mavis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043738370

Sam Mavis is a Student in an Organized Health Care Education/Training Program in Pacoima, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

12450 Van Nuys Blvd
Pacoima, CA 91331-1391
Phone: (818) 896-1161
Fax: (818) 896-5069
Show map & directions

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

Specialties & licences

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

Record details

NPI number1043738370
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESJuly 21, 2022
Mailing address12450 Van Nuys Blvd, Pacoima, CA 91331-1391

Other providers in Pacoima