Individual
CARLOS ALEXANDER SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13193 CENTRAL AVE, CHINO, CA 91710-4179
(909) 464-9675
Mailing address
13193 CENTRAL AVE, CHINO, CA 91710-4179
(909) 464-9675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA62505
CA
Other
Enumeration date
05/27/2022
Last updated
01/11/2025
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