Provider Demographics
NPI:1972275022
Name:SANTIZO, NATALIA C
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:C
Last Name:SANTIZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 STATE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2548
Mailing Address - Country:US
Mailing Address - Phone:805-569-2318
Mailing Address - Fax:805-659-3217
Practice Address - Street 1:1629 STATE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101
Practice Address - Country:US
Practice Address - Phone:805-451-6580
Practice Address - Fax:805-569-0230
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34997152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist