EDUARDO SANTOS UY MD INC NPI 1629257191

NPI Information

EDUARDO SANTOS UY MD INC is a general practice in Fontana, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EDUARDO SANTOS UY MD INC NPI is 1629257191. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is San Sebastian Family Medical Group, Inc..

The provider's business location address is:

9717 SIERRA AVE
FONTANA, CA
ZIP 92335-716
Phone: (909) 822-3400
Fax: (909) 886-8881

The provider's authorized official is Eduardo Santos Uy .
The authorized official title is President and has the following contact phone number (909) 886-8888.

The CLIA number assigned to this NPI record is 05D1014373 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 2/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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