Healthcare Provider Details

I. General information

NPI: 1891600722
Provider Name (Legal Business Name): DARREN KRENZ SANTOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26315 CARMEL ST
LAGUNA HILLS CA
92656-3118
US

IV. Provider business mailing address

26315 CARMEL ST
LAGUNA HILLS CA
92656-3118
US

V. Phone/Fax

Practice location:
  • Phone: 714-917-5231
  • Fax:
Mailing address:
  • Phone: 714-917-5231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: