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Contact Information

NICOLE M SANTOS
3141 MOULTON PKWY
SUITE 102
LAGUNA HILLS, CA92653
 Phone: 949-916-9100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NICOLE M SANTOS · (Female)

NPI # 1366169476
Status Active
Credentials
Entity Individual
Enumeration date 10/20/2022
Last updated 10/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # F349759
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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