Individual
DR. LUKASZ URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5252 BALBOA AVE STE 1004, SAN DIEGO, CA 92117
(619) 314-5560
Mailing address
5252 BALBOA AVE STE 1004, SAN DIEGO, CA 92117-6986
(619) 314-5560
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY30225
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY30225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1489014
EMPLOYEE ID NUMBER
CA
01
—
PSY30225
PSYCHOLOGY LICENSE
CA
Enumeration date
08/16/2011
Last updated
08/24/2018
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