Individual
MR. JULIUS LAGUNA PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
2530 HARLOW LN, SAN RAMON, CA 94582-5795
(925) 575-4931
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
29397
CA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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