Individual
ANTONIO M SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8950 VILLA LA JOLLA DR STE C230, LA JOLLA, CA 92037-1712
(925) 282-1778
Mailing address
8950 VILLA LA JOLLA DR STE C230, LA JOLLA, CA 92037-1712
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
19989
CA
Other
Enumeration date
12/12/2006
Last updated
07/31/2024
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