Provider Demographics
NPI:1114909652
Name:SANTANA, SONIA ROCIO (DO)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:ROCIO
Last Name:SANTANA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5565 W LAS POSITAS
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588
Mailing Address - Country:US
Mailing Address - Phone:925-416-6846
Mailing Address - Fax:925-416-6847
Practice Address - Street 1:5565 W LAS POSITAS
Practice Address - Street 2:SUITE 200
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588
Practice Address - Country:US
Practice Address - Phone:925-416-6846
Practice Address - Fax:925-416-6847
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9292207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology