Individual
DOUGLAS DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 VINE ST, LOS ANGELES, CA 90038-1612
(323) 769-6153
Mailing address
332 PASADENA AVE, APT. C, SOUTH PASADENA, CA 91030-2948
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT20249
CA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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