# DRIVING FITNESS EVALUATIONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ernest Callera Santos
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154776045
- **Authorized official:** ERNEST CALLERA SANTOS OTR/L, DRS (OCCUPATIONAL THERAPIST/OWNER)
- **Authorized official phone:** (562) 209-8281

## Contact information

- **Practice address:** 12556 JOSEPHINE ST APT D, GARDEN GROVE, CA 92841-4657
- **Practice address phone:** (562) 213-9225
- **Mailing address:** 12556 JOSEPHINE ST APT D, GARDEN GROVE, CA 92841-4657
- **Mailing address phone:** (562) 213-9225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | CA | — |
| 302R00000X | Health Maintenance Organization | — | CA | Yes |

## Other

- **Enumeration date:** 04/28/2016
- **Last updated:** 04/28/2016