Individual
CARLOS E SANTOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
31700 TEMECULA PKWY, TEMECULA, CA 92592-5896
(951) 331-2200
Mailing address
6033 E PRADO ST, ANAHEIM, CA 92807-3938
(909) 762-6072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020008511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020008511
—
CA
Enumeration date
09/22/2020
Last updated
09/22/2020
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