DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY LEE SANTORO PA

MEDICARE: KELLY LEE SANTORO PA
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
1363A00000XPhysician AssistantMA055445PA
2363AM0700XMedical Physician Assistant51687CA
3363A00000XPhysician Assistant51687CA

General Provider Information

NPI Number : 1982960340
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY LEE SANTORO PA
Provider Business Mailing Address
First Line : PO BOX 31309
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-0309
Country : US
Telephone Number : 310-272-7648
Fax Number : 310-272-7656
Provider Business Practice Location Address
First Line : 12414 EXPOSITION BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90064-1016
Country : US
Telephone Number : 310-272-7640
Fax Number : 310-272-7656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2012
Last Update Date : 02/13/2024

Similar Medicare Providers

1356328249 — DR. DAVID B AGUS M.D.
Practice Location Address:
12414 EXPOSITION BLVD
LOS ANGELES, CA
90064-1016
Practice Phone: 310-272-7640
Practice Fax: 310-272-7656
1386607638 — MRS. MARY CHUNG-NING DUONG PAC
Practice Location Address:
12414 EXPOSITION BLVD
LOS ANGELES, CA
90064-1016
Practice Phone: 310-272-7640
Practice Fax: 310-272-7656
1548298656 — DR. MITCHELL GROSS M.D.
Practice Location Address:
12414 EXPOSITION BLVD
LOS ANGELES, CA
90064-1016
Practice Phone: 310-272-7640
Practice Fax:
1588970115 — DR. MATTHEW WAYNE JUNG MD
Practice Location Address:
12414 EXPOSITION BLVD
LOS ANGELES, CA
90064-1016
Practice Phone: 310-272-7640
Practice Fax:
1275059131 — MS. ANA MARICELA ROCHA NP
Practice Location Address:
12414 EXPOSITION BLVD
LOS ANGELES, CA
90064-1016
Practice Phone: 310-272-7640
Practice Fax: 310-272-7656
1215430202 — KATHRYN COHEN MS, RDN
Practice Location Address:
12414 EXPOSITION BLVD
LOS ANGELES, CA
90064-1016
Practice Phone: 310-272-7640
Practice Fax:

Directions to “ KELLY LEE SANTORO PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.