Individual
JUAN MIGUEL SANTOS-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7680
Mailing address
212 CARMEN LN STE 201, SANTA MARIA, CA 93458-7771
(805) 212-7680
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245897354
TELECARE
CA
Enumeration date
08/31/2020
Last updated
01/11/2026
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