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Rudolph Raymond Breilein

Licensed Psychiatric Technician in Pasadena, CA. Individual provider (NPI-1).

NPI number1215079207
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1215079207
Entity type
Individual (NPI-1)
Name
Rudolph Raymond Breilein
Sex
Male
Sole proprietor
No
Enumeration date
Feb 13, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric TechnicianPT21287CAYes

Practice location

70 N Hudson Ave
Pasadena, CA 91101-1808

Phone 626-795-8471

Mailing address

34 S Mentor Ave
#112
Pasadena, CA 91106-2927

Phone 626-731-0547

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