John Perdomo, Psychologist
Student in an Organized Health Care Education/Training Program in Ione, CA. Individual provider (NPI-1).
NPI number1245985142
StatusActive
Last updated in NPPESFeb 18, 2022
Details
- NPI
- 1245985142
- Entity type
- Individual (NPI-1)
- Name
- John Perdomo
- Credential
- Psychologist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2022
- Certification date
- Feb 5, 2022
- Last updated
- Feb 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4001 Ca 104 HwyIone, CA 95640
Phone 209-274-4911
Mailing address
12736 Cordyline WayRancho Cordova, CA 95742-6726
Phone 626-922-3518
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Other Student in an Organized Health Care Education/Training Program providers in Ione, CA
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- Chancey Brandon Hoffman, APCCNPI 1811808777
- Josue SantosNPI 1659709905
- Lane SimonsNPI 1265176622
- Shevalier SwansonNPI 1437845708
- Melissa Kaye WindhamNPI 1922744838
- Amanda N WoodNPI 1063392421
All 8 Student in an Organized Health Care Education/Training Program providers in Ione · All 105 providers in Ione
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