# EDUARDO SANTOS UY MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** San Sebastian Family Medical Group, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629257191
- **Authorized official:** EDUARDO SANTOS UY M.D. (PRESIDENT)
- **Authorized official phone:** (909) 886-8888

## Contact information

- **Practice address:** 9717 SIERRA AVE, FONTANA, CA 92335-6716
- **Practice address phone:** (909) 822-3400
- **Practice address fax:** (909) 886-8881
- **Mailing address:** 9717 SIERRA AVE, FONTANA, CA 92335-6716
- **Mailing address phone:** (909) 822-3400
- **Mailing address fax:** (909) 886-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 02/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A530160 | — | CA |