Basic Information
| Provider Information | |||||||||
| NPI: | 1073256277 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SANTOYO | ||||||||
| FirstName: | NATALIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5706 KESTER AVE APT 2 | ||||||||
| Address2: | |||||||||
| City: | SHERMAN OAKS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914113317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6614146836 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11565 LAUREL CANYON BLVD UNIT 1 | ||||||||
| Address2: | |||||||||
| City: | SAN FERNANDO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913404168 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183615030 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2022 | ||||||||
| LastUpdateDate: | 06/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 106H00000X | 131029 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.