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

Samantha Grant

Individual provider Nutritionist · NPI 1063884971

Samantha Grant is a Nutritionist in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

12530 Braddock Dr Apt 222A
Los Angeles, CA 90066-6849
Phone: (310) 266-7102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1063884971
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 30, 2015
Last updated in NPPESOctober 30, 2015

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