# PACIFICO C. SANTOS, MD INC

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

## Provider details

- **NPI number:** 1861515199
- **Authorized official:** DR. PACIFICO CAMPANA SANTOS MD (OWNER)
- **Authorized official phone:** (408) 251-4240

## Contact information

- **Practice address:** 200 N JACKSON AVE, SUITE D, SAN JOSE, CA 95116-1601
- **Practice address phone:** (408) 251-4240
- **Practice address fax:** (408) 251-7859
- **Mailing address:** 200 N JACKSON AVE, SUITE D, SAN JOSE, CA 95116-1601
- **Mailing address phone:** (408) 251-4240
- **Mailing address fax:** (408) 251-7859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | A29516 | CA | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020