Individual
STACEY SUGATAN SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19000 HAWTHORNE BLVD STE 300, TORRANCE, CA 90503-1517
(310) 793-1800
Mailing address
19000 HAWTHORNE BLVD STE 300, TORRANCE, CA 90503-1517
(310) 793-1800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA50104
CA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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