IndividualActive
Agnes Santosa, M.D.
NPI 1689690927 · Diagnostic Radiology Physician · San Diego, CA
Provider details
- NPI number
- 1689690927
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A71735 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11241 Spencerport Way
San Diego, CA 92131-2912
Phone: (858) 549-9652
Fax: (858) 549-4941
Approximate (ZIP-level) locationGet directions
Mailing address
11241 Spencerport Way
San Diego, CA 92131-2912
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.