Individual
DR. MARIO SANTOS YCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
477 N EL CAMINO REAL, SUITE A-210, ENCINITAS, CA 92024-1328
(760) 944-4211
(760) 944-9769
Mailing address
6399 SAN IGNACIO AVE STE 120, SAN JOSE, CA 95119-1215
(408) 369-5620
(408) 904-7730
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G42612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G426121
—
CA
Enumeration date
04/11/2007
Last updated
06/01/2020
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