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Organization
SORRENTO PSYCHOLOGICAL SERVICES, PC
Active
Organization
SORRENTO PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOD PENG PSY.D. (PRESIDENT)
(858) 800-2236
Entity
Organization
Contact information
Practice address
6540 LUSK BLVD STE C159, SAN DIEGO, CA 92121-2684
(858) 800-2236
(844) 794-7581
Mailing address
6540 LUSK BLVD STE C159, SAN DIEGO, CA 92121-2684
(858) 800-2236
(844) 794-7581
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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