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Organization
SUSANA SANTIAGO-SORIANO MD INC
Active
Organization
SUSANA SANTIAGO-SORIANO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANA VISDA SANTIAGO-SORIANO M.D. (PRESIDENT)
(213) 388-2508
Entity
Organization
Contact information
Practice address
3908 BEVERLY BLVD, LOS ANGELES, CA 90004-3407
(213) 388-2508
(213) 388-5377
Mailing address
3908 BEVERLY BLVD, LOS ANGELES, CA 90004-3407
(213) 388-2508
(213) 388-5377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A68987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A689870
—
CA
Enumeration date
01/03/2007
Last updated
01/29/2008
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