Individual
JAY PICHIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 CALLE DEL JUEGO, SAN CLEMENTE, CA 92672-2101
(949) 573-3964
(949) 940-8054
Mailing address
203 CALLE DEL JUEGO, SAN CLEMENTE, CA 92672-2101
(949) 573-3964
(949) 940-8054
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
306003893
CA
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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