Organization
SARAH DE LOS SANTOS, PSYD, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH ALETHEA DE LOS SANTOS PSYD (OWNER)
(818) 324-0423
Entity
Organization
Contact information
Practice address
145 HODENCAMP RD STE 204, THOUSAND OAKS, CA 91360-5817
(818) 324-0423
(805) 855-4949
Mailing address
3816 YOUNG WOLF DR, SIMI VALLEY, CA 93065-0253
(818) 324-0423
(805) 855-4949
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962650242
INDIVIDUAL NPI NUMBER
CA
Enumeration date
04/14/2022
Last updated
04/14/2022
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