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CHARLOTTE SANTIAGO CARLSON
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1598056426
Individual Registrant: CHARLOTTE SANTIAGO CARLSON
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1850 REDONDO AVE SUITE 108 SIGNAL HILL, CA 90755-1251 US
Tel: 562-498-2131 Fax: --
Tel: 562-498-2131 Fax: --
Contact information for business:
24035 OCEAN AVE #18 TORRANCE, CA 90505-6433 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1598056426
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
