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Individual

DR. LEON ALTAMIRANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(619) 890-3262
(858) 668-3262
Mailing address
PO BOX 502045, SAN DIEGO, CA 92150-2045
(619) 890-3262
(858) 668-3262

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23734
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46-1010163
AB CONSULTING SERVICES
CA
Enumeration date
01/06/2011
Last updated
06/20/2014
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