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Robert Quero Bayani

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

NPI number1689142879
StatusActive
Last updated in NPPESNov 16, 2023

Details

NPI
1689142879
Entity type
Individual (NPI-1)
Name
Robert Quero Bayani
Sex
Male
Sole proprietor
No
Enumeration date
Nov 6, 2018
Certification date
Nov 16, 2023
Last updated
Nov 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
167G00000X Licensed Psychiatric Technician36459CAYes

Practice location

265 S Anita Dr Ste 102
Orange, CA 92868-3335

Phone 714-410-3515

Mailing address

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Phone 310-945-3350 · Fax 310-945-3356

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