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Individual

ELVIS SANTILLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-5900
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62052
CA
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
01/24/2022
Last updated
03/19/2025
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