Individual
SHERRILL ONG FABUNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(714) 289-3936
Mailing address
401 S TUSTIN ST BLDG D, ORANGE, CA 92866-2550
(951) 955-7320
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41135
CA
Other
Enumeration date
07/29/2025
Last updated
09/02/2025
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