Healthcare Provider Details

I. General information

NPI: 1669389425
Provider Name (Legal Business Name): CINTHIA NOEMI SANTANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64550 PIERSON BOULEVAR SPC 109
DESERT HOT SPRING CA
92240
US

IV. Provider business mailing address

64550 PIERSON BOULEVAR SPC 109
DESERT HOT SPRING CA
92240
US

V. Phone/Fax

Practice location:
  • Phone: 818-987-5182
  • Fax:
Mailing address:
  • Phone: 818-987-5182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberVN698997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: