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NPI Code Detail

MEDICARE: SANTIAGO PALACIOS II

MEDICARE: SANTIAGO PALACIOS II
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1942479175
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTIAGO PALACIOS II
Provider Business Mailing Address
First Line : 646 N H ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-4519
Country : US
Telephone Number : 805-865-1940
Fax Number : 805-865-1954
Provider Business Practice Location Address
First Line : 646 N H ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-4519
Country : US
Telephone Number : 805-865-1940
Fax Number : 805-865-1954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 03/24/2026

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Directions to “ SANTIAGO PALACIOS II ” Practice Location

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