Provider Demographics
NPI:1518265131
Name:SANTOS, NINA PAMELA ALMEDA (DO)
Entity Type:Individual
Prefix:DR
First Name:NINA PAMELA
Middle Name:ALMEDA
Last Name:SANTOS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:ALMEDA
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:770 THE CITY DR S STE 4000
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4929
Mailing Address - Country:US
Mailing Address - Phone:800-463-6628
Mailing Address - Fax:714-620-3008
Practice Address - Street 1:100 W CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3010
Practice Address - Country:US
Practice Address - Phone:626-397-5000
Practice Address - Fax:626-397-2968
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15646208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics