Most Relevant Information
Provider Data
| NPI Number: | 1003197492 |
| Provider Name: | ENRIQUE SANTANA DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 32082 |
Most Important Dates
| Enumeration Date: | 08/30/2011 |
| Last Updated: | 04/03/2024 |
Provider Practice Location
28122 S WESTERN AVE
SAN PEDRO
CA
907321248
Practice Location Phone/Fax
| Phone: | 3109352470 |
| Fax: | 4245363013 |
Provider Mailing Location
28122 S WESTERN AVE
SAN PEDRO
CA
907321248
Provider Mailing Phone/Fax
| Phone: | 3109352470 |
| Fax: | 4245363013 |