Healthcare Provider Details

I. General information

NPI: 1770035057
Provider Name (Legal Business Name): BIANCA SANTOYO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BIANCA BALL SUDCC

II. Dates (important events)

Enumeration Date: 11/02/2016
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 CAPALINA RD
SAN MARCOS CA
92069-1288
US

IV. Provider business mailing address

40700 CALIFORNIA OAKS RD
MURRIETA CA
92562-5795
US

V. Phone/Fax

Practice location:
  • Phone: 760-744-2104
  • Fax: 760-744-1382
Mailing address:
  • Phone: 951-894-5072
  • Fax: 951-894-7324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number9066
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: