Individual
LEANDER SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
330 N HAYWORTH AVE, LOS ANGELES, CA 90048-2702
(323) 852-9200
Mailing address
203 W GARFIELD AVE, GLENDALE, CA 91204-2103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6967834
DRIVER LICENSE
CA
Enumeration date
07/15/2019
Last updated
11/27/2023
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