Organization
EDUARDO SANTOS UY MD INC
Active
Other names
San Sebastian Family Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO SANTOS UY M.D. (PRESIDENT)
(909) 886-8888
Entity
Organization
Contact information
Practice address
9717 SIERRA AVE, FONTANA, CA 92335-6716
(909) 822-3400
(909) 886-8881
Mailing address
9717 SIERRA AVE, FONTANA, CA 92335-6716
(909) 822-3400
(909) 886-8881
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A530160
—
CA
Enumeration date
10/31/2007
Last updated
02/28/2013
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