Most Relevant Information
Provider Data
| NPI Number: | 1003642935 |
| Provider Name: | ALAN OSWALDO DE SANTIAGO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/09/2024 |
| Last Updated: | 09/09/2024 |
Provider Practice Location
3545 LONG BEACH BLVD
LONG BEACH
CA
908073941
Practice Location Phone/Fax
| Phone: | 5624907600 |
| Fax: |
Provider Mailing Location
3545 LONG BEACH BLVD
LONG BEACH
CA
908073941
Provider Mailing Phone/Fax
| Phone: | 5624907600 |
| Fax: |