SearchCalifornia106S00000X

Matt Laris Santos

NPI 1861117467 · on the registry since 2022

Practice

Address
9920 19th St Apt 59
Rancho Cucamonga, CA 91737
Phone
(310) 388-7365
Organisation at this address
Her Own Enterprises Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California