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Individual

DR. LIDETH ORTEGA-VILLALOBOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1250 E WALNUT ST STE 110, PASADENA, CA 91106-1877
(626) 470-3344
Mailing address
1250 E WALNUT ST STE 110, PASADENA, CA 91106-1877
(626) 470-3344

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY23640
CA

Other

Enumeration date
11/24/2015
Last updated
11/24/2015
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