Individual
DR. JONATHAN ANGEL SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2963
(323) 361-1310
Mailing address
4650 W SUNSET BLVD # 69, LOS ANGELES, CA 90027-6062
(323) 361-2963
(323) 361-1310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS017498
PA
2080S0010X
Pediatric Sports Medicine Physician
Primary
20A12543
CA
2080S0010X
Pediatric Sports Medicine Physician
Q8346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A12543
MEDICAL LICENSE
CA
01
—
OT016251
LICENSE
PA
01
—
Q8346
MEDICAL LICENSE
TX
Enumeration date
02/21/2013
Last updated
12/23/2022
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