# ATHENA HEALTH PROFESSIONAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255164604
- **Authorized official:** MS. DANNA LYN SANTIAGO (CFO)
- **Authorized official phone:** (213) 840-7660

## Contact information

- **Practice address:** 4651 FORMOSA WAY, PERRIS, CA 92571-5119
- **Practice address phone:** (213) 840-7660
- **Mailing address:** 5117 E TANGO CIR, ANAHEIM, CA 92807-1206
- **Mailing address phone:** (213) 840-7660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2024
- **Last updated:** 01/09/2025