Individual
MR. MICHAEL ROBERT OGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2555 E COLORADO BLVD, SUITE 100, PASADENA, CA 91107-6622
(626) 577-2261
(626) 577-2354
Mailing address
517 SAN JULIAN ST, NO. 454, LOS ANGELES, CA 90013-1547
(323) 360-6762
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
LPT32486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ICAN960
LA COUNTY DMH
CA
Enumeration date
06/01/2010
Last updated
06/01/2010
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