Individual
DAVID JOSEPH LOOMIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210735 C STREET, CAMP PENDLETON, CA 92058
(626) 253-6948
Mailing address
1143 YORK DR, VISTA, CA 92084-7251
(626) 253-6948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1576
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/13/2006
Last updated
02/23/2024
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