Individual
EDMUND S BIENKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12440 FIRESTONE BLVD STE 3020, NORWALK, CA 90650-9328
(562) 864-7821
(562) 864-7864
Mailing address
31460 CONGRESSIONAL DR, TEMECULA, CA 92591-6986
(562) 864-7821
(562) 864-7864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY12572
CA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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