Individual
LUIS A SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4371 LATHAM ST, RIVERSIDE, CA 92501
(833) 867-4642
(360) 462-2757
Mailing address
215 S HICKORY ST, ESCONDIDO, CA 92025-4359
(833) 867-4642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
55547
CA
Other
Enumeration date
05/10/2018
Last updated
08/12/2025
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