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NPI Code Detail

MEDICARE: LUPE SANTOS

MEDICARE:   LUPE  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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1952285363
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUPE SANTOS
Provider Business Mailing Address
First Line : 1859 BIRD ST
Second Line :
City : OROVILLE
State : CA
Zip : 95965-4854
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2380 LAS PLUMAS AVE
Second Line :
City : OROVILLE
State : CA
Zip : 95966-6999
Country : US
Telephone Number : 530-538-2310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2025
Last Update Date : 07/31/2025

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Directions to “ LUPE SANTOS ” Practice Location

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