Individual provider · Type 1 NPI
Angelo Jovito Caezar Santos Santiago
Psychiatric/Mental Health Nurse Practitioner · Irvine, CA
NPI number
1356069900
Active
Practice location
17782 Cowan
Irvine, CA 92614-6030
Mailing address
1003 Concord St
Costa Mesa, CA 92626-2807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95021619 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1356069900
Angelo Jovito Caezar Santos Santiago's National Provider Identifier is 1356069900, issued on Aug 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Irvine, CA. The record was last updated on Aug 19, 2022.