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

Samantha Rose Ilan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760216964

Samantha Rose Ilan is an Addiction (Substance Use Disorder) Counselor in Garden Grove, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

13222 Chapman Ave
Garden Grove, CA 92840-4414
Phone: (855) 588-1422
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1760216964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 28, 2024

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