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NPI Code Detail

MEDICARE: SOPHIA SANTOYO

MEDICARE:   SOPHIA  SANTOYO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1164374252
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA SANTOYO
Provider Business Mailing Address
First Line : 30 W PACHECO BLVD
Second Line :
City : LOS BANOS
State : CA
Zip : 93635-4041
Country : US
Telephone Number : 209-646-5333
Fax Number :
Provider Business Practice Location Address
First Line : 30 W PACHECO BLVD
Second Line :
City : LOS BANOS
State : CA
Zip : 93635-4041
Country : US
Telephone Number : 209-646-5333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ SOPHIA SANTOYO ” Practice Location

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