Healthcare Provider Details

I. General information

NPI: 1831245539
Provider Name (Legal Business Name): LEANDRO SANTOS ARCA D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10953 RAMONA BLVD
EL MONTE CA
91731-2629
US

IV. Provider business mailing address

1288 PINE EDGE DR
LA HABRA HEIGHTS CA
90631-8506
US

V. Phone/Fax

Practice location:
  • Phone: 626-434-2614
  • Fax:
Mailing address:
  • Phone: 213-324-8483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number45814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: