Individual
DIANA SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
(323) 463-2119
Mailing address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW116469
CA
Other
Enumeration date
08/21/2019
Last updated
09/22/2023
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