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NPI Code Detail

MEDICARE: ESMERALDA DE LOS SANTOS

MEDICARE: ESMERALDA DE LOS SANTOS
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1275334849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMERALDA DE LOS SANTOS
Provider Business Mailing Address
First Line : 1838 E CARTAGENA ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3003
Country : US
Telephone Number : 562-453-8555
Fax Number :
Provider Business Practice Location Address
First Line : 1838 E CARTAGENA ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3003
Country : US
Telephone Number : 562-453-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2025
Last Update Date : 03/20/2025

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Directions to “ ESMERALDA DE LOS SANTOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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