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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSE JERRY SANTOS

Active Sole Proprietor

JOSE JERRY SANTOS is a Nutrition, Education healthcare provider located in AGOURA HILLS, California. NPI 1679469969 is currently active in the NPPES registry. Verify at CMS.

Nutrition, Education · AGOURA HILLS, CA

Registration Details

NPI Number
1679469969
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2025 (1.2042458319374 yrs)
Last Updated
Jun 14, 2025
Sole Proprietor
Yes

Practice Information

Address
28632 ROADSIDE DR STE 170
AGOURA HILLS, CA, 913016083
Browse CA providers · Browse ZIP 91301
Phone
8885610868
Primary Specialty
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.