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NPI Code Detail

MEDICARE: CARLA M. E. SANTANA L.M.F.T.

MEDICARE: CARLA M. E. SANTANA L.M.F.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist40144CA

General Provider Information

NPI Number : 1528245313
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA M. E. SANTANA L.M.F.T.
Provider Business Mailing Address
First Line : 31930 SERRENTO DR
Second Line :
City : MURRIETA
State : CA
Zip : 92563-3238
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 39755 MURRIETA HOT SPRINGS RD STE D160
Second Line :
City : MURRIETA
State : CA
Zip : 92563-9113
Country : US
Telephone Number : 951-295-7038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2008
Last Update Date : 12/29/2023

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