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Mark Anthony Mayrina Santos, M.D.

Family Medicine in Banning, CA. Individual provider (NPI-1).

NPI number1508052010
StatusActive
Last updated in NPPESDec 6, 2021

Details

NPI
1508052010
Entity type
Individual (NPI-1)
Name
Mark Anthony Mayrina Santos
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 18, 2007
Last updated
Dec 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA100509CAYes

Practice location

5957 W Ramsey St
Banning, CA 92220-3058

Phone 951-845-0313 · Fax 951-769-1156

Mailing address

Po Box 10069
San Bernardino, CA 92423-0069

Phone 909-335-4188

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