Mauricio Perdomo Jr., IMF
Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1801137336
StatusActive
Last updated in NPPESJul 8, 2015
Details
- NPI
- 1801137336
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mauricio Perdomo Jr.
- Credential
- IMF
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2013
- Last updated
- Jul 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF 81080 | CA | Yes |
Practice location
7907 Ostrow StSte F
San Diego, CA 92111-3635
Phone 858-300-8282 · Fax 858-300-8284
Mailing address
7907 Ostrow StSte F
San Diego, CA 92111-3635
Phone 858-300-8282 · Fax 858-300-8284
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