Individual
CARA ISOBEL SANTIANO BUENAVENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8673 W PICO BLVD, LOS ANGELES, CA 90035-2377
(310) 652-3981
Mailing address
17154 INDEX ST, GRANADA HILLS, CA 91344-4133
(818) 203-0104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61801
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/05/2022
Last updated
12/13/2022
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