Individual
LUZ A SANTIBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4566 FLORENCE AVE STE 1, BELL, CA 90201-4346
(323) 771-1433
Mailing address
2515 E VAN BUREN ST, CARSON, CA 90810-1340
(310) 746-8556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22843
CA
Other
Enumeration date
06/27/2013
Last updated
06/09/2023
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