Individual
CIRILO BARAJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3125 N BROADWAY, LOS ANGELES, CA 90031-2703
(213) 215-3017
Mailing address
3125 N BROADWAY, LOS ANGELES, CA 90031-2703
(213) 215-3017
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
724176
CA
167G00000X
Licensed Psychiatric Technician
—
CA
Other
Enumeration date
05/03/2024
Last updated
06/25/2024
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