Individual
MR. RICARDO PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T
Contact information
Practice address
1517 W GARVEY AVE N, WEST COVINA, CA 91790-2138
(626) 962-6061
Mailing address
16664 E KINGSIDE DR, COVINA, CA 91722-3020
(626) 915-2577
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35516
CA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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