Individual
MR. ANDREWLEE ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
679 S NEW HAMPSHIRE AVE, LOS ANGELES, CA 90005-1355
(213) 639-0299
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9495
(909) 421-9494
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35210
CA
Other
Enumeration date
01/06/2012
Last updated
03/04/2019
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