Individual
DR. DAVID KONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 821-2911
Mailing address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 821-2911
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16531
CA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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