Healthcare Provider Details

I. General information

NPI: 1366804908
Provider Name (Legal Business Name): YESENIA SANCHEZ-SANTOYO ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR STE 150
OXNARD CA
93036-2612
US

IV. Provider business mailing address

1911 WILLIAMS DR STE 150
OXNARD CA
93036-2612
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-8460
  • Fax:
Mailing address:
  • Phone: 805-981-8484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number101183
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: