Provider Demographics
NPI:1851983258
Name:DE LOS SANTOS, BEATRIZ (AMFT)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:DE LOS SANTOS
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 N CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-2703
Mailing Address - Country:US
Mailing Address - Phone:818-836-8997
Mailing Address - Fax:
Practice Address - Street 1:733 HINDRY AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3030
Practice Address - Country:US
Practice Address - Phone:310-954-9114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist