Provider Demographics
NPI:1780497982
Name:SANTIZO, YENI DAYCIRA (NP)
Entity type:Individual
Prefix:
First Name:YENI
Middle Name:DAYCIRA
Last Name:SANTIZO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10446 PETIT AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-7313
Mailing Address - Country:US
Mailing Address - Phone:323-376-4910
Mailing Address - Fax:
Practice Address - Street 1:10446 PETIT AVE
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-7313
Practice Address - Country:US
Practice Address - Phone:323-376-4910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033066363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily