Individual
KEVIN GARZON SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 642-2734
Mailing address
10304 KIMBARK AVE, WHITTIER, CA 90601-1716
(760) 541-6834
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95296428
CA
Other
Enumeration date
09/12/2022
Last updated
10/09/2022
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