Vivian De Santis

NPI 1245952951 · on the registry since 2022 · sole proprietor

Practice

Address: 26284 Oso Rd
San Juan Capistrano, CA 92675
Phone: (949) 842-9557
Organisation at this address: Life Spirit Speech Pathology Inc
J.F.Shea Therapeutic Riding Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 2355S0801X
2355S0801X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California