Provider Demographics
NPI:1417629643
Name:ALONZO SANTILLAN, YOMIRA
Entity type:Individual
Prefix:
First Name:YOMIRA
Middle Name:
Last Name:ALONZO SANTILLAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8995 APOLLO WAY
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-4031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8995 APOLLO WAY
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-4031
Practice Address - Country:US
Practice Address - Phone:562-804-3119
Practice Address - Fax:562-804-1882
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9096237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist