Michael Akande Abanise
Licensed Psychiatric Technician in Orange, CA. Individual provider (NPI-1).
NPI number1417597915
StatusActive
Last updated in NPPESFeb 6, 2020
Details
- NPI
- 1417597915
- Entity type
- Individual (NPI-1)
- Name
- Michael Akande Abanise
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2020
- Certification date
- Feb 6, 2020
- Last updated
- Feb 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 30329 | CA | Yes |
Practice location
401 S Tustin St Bldg DOrange, CA 92866-2550
Phone 714-289-3936 · Fax 714-289-3938
Mailing address
401 S Tustin St Bldg DOrange, CA 92866-2550
Phone 714-289-3936 · Fax 714-289-3938
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