Van Enk, Sienne Santamaria

Van Enk, Sienne Santamaria is an sole proprietor health care provider with primary practice located at 26640 Western Ave Suite R, Harbor City CA 90710-3600. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Van Enk, Sienne Santamaria can be contacted via phone (310) 325-7855.

Contact Information

Primary practice address
26640 Western Ave Suite R Harbor City CA 90710-3600
Fax: (310) 325-7955
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10560T California

Profile Details

NPI number 1851381230
LBN Legal business name Van Enk, Sienne Santamaria
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
Last updated Jan 15th, 2013 - about 11 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 1851381230 NPPES
California MEDICAID SDO105600

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