Individual
MR. KARLOMIKHAIL NONO BUENASEDA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9140 WHITTIER BLVD, PICO RIVERA, CA 90660-2444
(562) 801-4626
(562) 801-4630
Mailing address
226 E 31ST ST, LONG BEACH, CA 90807-5004
(562) 912-7541
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 33472
CA
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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