Individual
EMANI SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 E AVENUE K4, LANCASTER, CA 93535-4505
(866) 508-0311
Mailing address
42835 SACHS DR, LANCASTER, CA 93536-4812
(661) 733-5119
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043605264
NON-MEDICARE
CA
Enumeration date
02/07/2022
Last updated
01/28/2026
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