Individual
CARLOS DE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 MENLO AVE, #100, LOS ANGELES, CA 90006-3593
(213) 365-7400
(213) 201-1812
Mailing address
1230 MENLO AVE, #100, LOS ANGELES, CA 90006-3593
(213) 365-7400
(213) 201-1812
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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