Individual
BOGART OMAR UGALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 S JOHNSON AVE, EL CAJON, CA 92020-5811
(619) 401-4150
Mailing address
851 S JOHNSON AVE, EL CAJON, CA 92020-5811
(619) 401-4150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
10/08/2020
Last updated
12/15/2025
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