MEDICARE: SARA MARIE SANTANA

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
1	1041C0700X	Clinical Social Worker	LCSW102612	CA

General Provider Information

NPI Number	:	1811848294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MARIE SANTANA

Provider Business Mailing Address
First Line	:	2201 N LAKEWOOD BLVD STE D
Second Line	:	PMB 164
City	:	LONG BEACH
State	:	CA
Zip	:	90815
Country	:	US
Telephone Number	:	562-881-6970
Fax Number	:

Provider Business Practice Location Address
First Line	:	1748 E 1ST ST UNIT 303
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-5992
Country	:	US
Telephone Number	:	562-881-6970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “ SARA MARIE SANTANA ” Practice Location

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