Individual
MR. BRIAN OANDASAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
901 NEWELL RD, PALO ALTO, CA 94303-2929
(650) 387-7229
Mailing address
901 NEWELL RD, PALO ALTO, CA 94303-2929
(650) 387-7229
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36554
CA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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