Healthcare Provider Details

I. General information

NPI: 1649103367
Provider Name (Legal Business Name): SANDRA SANTANA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28494 WESTINGHOUSE PL STE 314
VALENCIA CA
91355-0936
US

IV. Provider business mailing address

28494 WESTINGHOUSE PL STE 314
VALENCIA CA
91355-0936
US

V. Phone/Fax

Practice location:
  • Phone: 661-432-1194
  • Fax:
Mailing address:
  • Phone: 661-432-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDRA SANTANA
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 661-432-1194