Bruce Yanofsky Phd, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Chula Vista, CA. Organization (NPI-2).
NPI number1861911430
StatusActive
Last updated in NPPESJul 17, 2023
Details
- NPI
- 1861911430
- Entity type
- Organization (NPI-2)
- Legal business name
- Bruce Yanofsky Phd, INC.
- Organization subpart
- No
- Enumeration date
- Sep 15, 2017
- Certification date
- Jul 17, 2023
- Last updated
- Jul 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
224 Landis AveChula Vista, CA 91910-2609
Phone 619-730-9603 · Fax 619-730-9603
Mailing address
900 Lane Ave Ste 125Chula Vista, CA 91914-3503
Phone 619-240-3377 · Fax 619-240-3373
Authorized official
Juan F. Madrazo Torres
Authorized Rrepresentative
6197309603
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