Individual
CARMEN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23461 S POINTE DR STE 220, LAGUNA HILLS, CA 92653-1523
(949) 900-5383
Mailing address
23461 S POINTE DR STE 220, LAGUNA HILLS, CA 92653-1523
(949) 900-5383
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043758519
N/A
—
Enumeration date
05/08/2019
Last updated
04/03/2024
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