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Dr. Agnes C Santosa, MD
Diagnostic Radiology Physician in San Diego, California
NPI 1689690927

Agnes C Santosa is a Diagnostic Radiology Physician based in San Diego, CA and is specialized in Diagnostic Radiology. Agnes C Santosa practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Agnes C Santosa is 1689690927 and holds a License No. A71735 (California).

The current practice location address for Agnes C Santosa is 11241 Spencerport Way, San Diego, CA and can be reached out via phone at 858-549-9652 and via fax at 858-549-4941.

Location: 11241 Spencerport Way, San Diego, CA, 92131-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689690927
Provider Name
Agnes C Santosa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11241 Spencerport Way, San Diego, CA, 92131-2912
Phone Number
858-549-9652
Fax Number
858-549-4941
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A717350 05 CA
institution
Provider Business Practice Location Address Details
Address
11241 Spencerport Way
City
San Diego
State
California
Zip
92131-2912
Phone Number
858-549-9652
Fax Number
858-549-4941
person
Provider Business Mailing Address Details
Address
11241 Spencerport Way
City
San Diego
State
California
Zip
92131-2912
Phone Number
858-549-9652
Fax Number
858-549-4941
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A71735 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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