# JUDE J SANTIAGO M D INC

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

## Provider details

- **NPI number:** 1710174578
- **Authorized official:** DR. JUDE JOHN SANTIAGO M.D (PRESIDENT)
- **Authorized official phone:** (949) 472-4244

## Contact information

- **Practice address:** 24953 PASEO DE VALENCIA, SUITE 6A, LAGUNA HILLS, CA 92653-4342
- **Practice address phone:** (949) 472-4244
- **Practice address fax:** (949) 472-4258
- **Mailing address:** 24953 PASEO DE VALENCIA, SUITE 6A, LAGUNA HILLS, CA 92653-4342
- **Mailing address phone:** (949) 472-4244
- **Mailing address fax:** (949) 472-4258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A43467 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 11/04/2008