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

Samantha Star Ponce

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073030011

Samantha Star Ponce is a Student in an Organized Health Care Education/Training Program in San Gabriel, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

506 E Fairview Ave Apt A
San Gabriel, CA 91776-3039
Phone: (323) 485-7715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 333 S Beaudry Ave, Los Angeles, CA 90017-1466 — (213) 241-3841
  • 506 E Fairview Ave Apt A, San Gabriel, CA 91776-3039 — (323) 485-7715

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 90672 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073030011
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2017
Last updated in NPPESAugust 5, 2019

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