Individual
ROBERT QUERO BAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 S ANITA DR STE 102, ORANGE, CA 92868-3335
(714) 410-3515
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36459
CA
Other
Enumeration date
11/06/2018
Last updated
11/16/2023
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