Santillano, Eugene C

Santillano, Eugene C is an individual health care provider with primary practice located at 204 E Beach St , Watsonville CA 95076-4809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Santillano, Eugene C can be contacted via phone (831) 728-0222.

Contact Information

Primary practice address
204 E Beach St Watsonville CA 95076-4809
Phone: (831) 728-0222
Fax: (831) 707-2777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD428878 Pennsylvania
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD428878 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A88670 California

Profile Details

NPI number 1619967007
LBN Legal business name Santillano, Eugene C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Nov 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619967007 NPPES
Pennsylvania MEDICAID 101722200

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