Individual
RICARDO LARRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 WILSHIRE BLVD, LOS ANGELES, CA 90057
(213) 639-2660
Mailing address
200 SOUTH DELANO #2, ANAHEIM, CA 92804
(818) 399-6673
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35645
CT
Other
Enumeration date
03/02/2017
Last updated
03/06/2017
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