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NPI Code Detail

MEDICARE: SANTOS EMELITO SAN PASCUAL

MEDICARE: SANTOS EMELITO SAN PASCUAL
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 TechnicianCA

General Provider Information

NPI Number : 1912859562
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTOS EMELITO SAN PASCUAL
Provider Business Mailing Address
First Line : 9555 RESEDA BLVD APT 101
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91324-2374
Country : US
Telephone Number : 323-738-7780
Fax Number :
Provider Business Practice Location Address
First Line : 5959 TOPANGA CANYON BLVD STE 125
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7598
Country : US
Telephone Number : 818-960-0633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ SANTOS EMELITO SAN PASCUAL ” Practice Location

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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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