Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 20A4883 | CA |
NPI | 1013023795 |
---|---|
Provider Name | Samuel J Santoro |
First Address | Los Altos, CA 94022-1408 |
Second Address | Castro Valley, CA 94546 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 30/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020AX48830 | (05) | CA |
E08838 | (02) |