Individual
ELPIDIO CEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 788-2935
(805) 781-1232
Mailing address
1002 GRANADA ST, SANTA MARIA, CA 93458-7324
(805) 922-4039
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT22240
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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