Individual
MR. MICHAEL STEVEN SANTILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, CAQ-PSYCH
Contact information
Practice address
26024 ACERO, MISSION VIEJO, CA 92691-2768
(714) 545-5550
(949) 609-0374
Mailing address
19782 MACARTHUR BLVD STE 300, IRVINE, CA 92612-2417
(714) 545-5550
(949) 991-2040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA61412
CA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
PA61412
CA
Other
Enumeration date
05/13/2022
Last updated
09/30/2025
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